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Overview

Launched in 2006 by AMS, the AdVance™ Male Sling System is a minimally invasive retro-urethral surgical sling implant for the treatment of mild stress urinary incontinence (SUI). Its revolutionary mechanism of action can restore or greatly improve a man's normal sphincteric function.

This innovative, safe and effective treatment solution is indicated for men suffering from mild to moderate SUI resulting from prostatectomy or TURP. AdVance is ideal for men who seek minimally invasive surgical procedure or who are not candidates for an artificial urinary sphincter (AUS).

AdVance can be completed in less than 30 surgical minutes as an outpatient procedure. It can be carried out under spinal or general anesthesia. The sling is placed via a transobturator approach to optimize the sphincter's interaction with the urethra, producing circumferential coaptation.

The AdVance sling combines AMS' proven polypropylene mesh that facilitates healing with unique features designed for repositioning of the male urethra.

Features & Benefits

The AdVance system consists of two single-use needle passers and a mesh sling with attached connectors, both of which have been designed for use in the male anatomy.

The AdVance needle passers are designed to implant the AdVance male sling with an outside-in transobturator approach:

  • Helix of needle is sized to accommodate the male anatomy
  • The needle tip is flattened to allow accurate placement and avoid critical structures
  • Handle configuration is positioned to maximize the force applied and optimize the ease of use - no need to rotate, re-grip and rotate again

The AdVance sling combines AMS' proven polypropylene mesh that facilitates healing with unique features designed for repositioning of the male urethra:

  • Sling contains two (2) reinforcing sutures knotted throughout the length of the mesh which increases tensile strength and maintains mesh integrity when the sling is tensioned.
  • Unique flaps on the sling's center allow it to support and reposition the urethra without excessively deforming the corpus spongiosum.
  • The edges of the mesh have been stiffened, improving tensile strength and tissue fixation, allowing the mesh to remain in place in the tissue and maintain the corrected position of the urethra.