The prevalence of urinary incontinence increased with aged in both genders. Urge incontinence is commonly found in the elderly. The main treatment of urge incontinence is antimuscarinic agents, beta-3 agonist and/or botulinumtoxin A intravesical injection. Stress urinary incontinence is more often found in female compared with male. Persistent stress urinary incontinence occurs approximate 10% ~30% patients after radical prostatectomy. Postprostatectomy incontinence is a major and common complication following radical prostatectomy. The quality of life of patients after surgery becomes a disaster though the cancer has been cured. No medical treatment has been proved effective for treating postprostatectomy urinary incontinence. Pelvic floor muscle training, although effective for female patients, is not effective for male urinary incontinence. Surgical intervention is the only modality for male urinary incontinence.
　　Artificial urinary sphincter and male sling are commonly used to treat male stress urinary incontinence. The long-term success rate of artificial urinary sphincter (AMS 800) implantation has been reported to be 59%-91%, and it remains the gold standard for post-prostatectomy incontinence. However, this procedure is often associated with unavoidable complications including mechanical failure, urethral erosion, and infection leading to surgical revisions in 21%-37% of patients.
　　The use of male slings has grown substantially for several decades, and it has shown promising results for the treatment of mild to moderate post-prostatectomy incontinence.? All currently marketed slings for the minimally invasive treatment of male stress urinary incontinence that are implanted in the region of the bulbar urethra induce compression of the urethra. The retrourethral transobturator sling offers a noncompressive functional therapeutic approach. It exerts its function on the posterior (membranous) urethra by fixing it into the normal anatomic position.
　　Among existing sling systems, the Male Readjustable Sling (MRS; Neomedic International, Barcelona, Spain) is the first to permit delayed adjustment of suburethral pressure at any time during a patient’s life. The main advantage of adjustable sling is to offer more chances to readjust the tension in case of sling loosing.? However, the long-term followup results are still needed to be investigated. In conclusion, conservative treatment has limited effects for male stress urinary incontinence after radical prostatectomy. Mail sling is an effective and safe procedure for treatment of male SUI during the short-term followup.