Urinary incontinence following radical prostatectomy is a hidden complication. Continence is rarely defined as having no leaks or needing no pads; a looser criterion of ≤1 pad/day is often used. When a conservative treatment fails, the option between an artificial urinary sphincter (AUS) and a sling, fixed or adjustable, is often chosen on an empirical basis.
Earlier this year, data from the MASTER trial, the first-ever comparative study on surgery for men with urodynamic stress incontinence after prostate surgery, was released in European Urology. One of the conclusions of the authors was that rates of urinary incontinence, which was strictly defined in this study, remained high, with no evidence of difference between male sling and AUS. The objective of this UROwebinar is to debate the influence of this information on the daily urological practice.