Objective: To communicate long- term results of the multicentre phase III trial post-prostatectomy urinary incontinence (PPI) treated with an adjustable male sling1. Patients and Methods: 48 PPI patients were included in this trial from april 2003 to September 2004. 39 post radical prostatectomy and 9 post adenomectomy. 19 wore 5 pads per day (3-8) each weight 83gr (17-198). 29 wore condom catheter or penile clamp The Argus was implanted through perineal approach. Using needles, the sling was transferred to the abdominal wall where it was adjusted by washers. The adjustment was done with retrograde urethral pressure from 45 to 55 cm water. Clinical data were updated till September 2007. The mean follow-up was 45 months (36-54) and median age was 67 years (52-77). The evaluation was: the ICIQ-SF score and qualification as Dry: no pads, Improved: 1 pad and Failed: 2 or more pads in 24 hr, including those with slings removed. Results: 47 were evaluated, resulting: 31 (66%) Dry, 6 (12.8%) Improved and 10 (21%) Failed. The ICIQ-SF score changed from 19.5 to 6. Of the 31 dry pts, 5 required one adjustment. 10 pts failed, 9 after sling removal, 6 due to erosion and 3 for infection. One patient failed with the sling in place, 6 erosions were registered: 4 in the urethra, 1 into the bladder and 1 through the abdominal wall. Perineal pain persisted in 2. One patient was excluded, died in September 2006. Conclusions: Argus™ has demonstrated its efficacy in long- term follow-up. The social continence rate was about 80%. The important comDlication was erosion or infection.333309314Romano, S.V., Metrebian, S.E., Vaz, F., Muller, V., Levi D'Ancona, C.A., Costa De Souza, E.A., Nakamura, F., An adjustable male sling for treating urinary Incontinence after prostatectomy - A phase 111 multi-centre trial (2006) BJU Int, 97 (3), pp. 533-539Shaeffer, A., Clemens, Q., Ferrari, M., Stamey, T., The male bulbourethral. Sling procedure for post-radical prostatectomy Incontinence (1998) J Urol, 159, pp. 510-1515Tse, V., Stone, A., Incontinence after prostatectomy: The artificial urlnay sphincter (2003) BJU Int, 92 (9), pp. 886-889Urban, M., Heracek, J., Romano, S.V., New sugical method of trea-tement for male Incontinence with argus adjustable male sling (2006) Urologe Pro Praxl, 1, pp. 20-23Galllstl, H., Shlarp, O., Hiibner, W.A., Argus: Elne neuartlge adjus-tlerbare shllnge In der theraple der postprostatektomlelncontl-nenz (2006) Urologe A, 45 (SUPPL. 1), pp. S43Sandoval, J.C., Salazar, A., Oyanedel, P., Verdugo, F., Romano, S.V., Sling bulbouretral para el tratamiento de la Incontlnencla urinaria de esfuerzo mascullna post cirugia prostatlca (2007) Rev. Chllena De Urologla., 72 (2), pp. 185-188Reges, R., Dancona, C., Rels, L., Mlyakoa, R., Netto, N., Treatmet of Male Urinary Incontinence with Male Sling: Long Term Follow-up Ics 2006, , Abst 361Kaufman, J.J., A New operation for male Incontinence (1970) Surg Gynecol Obstet., 131 (2), pp. 295-299Kaufman, J.J., Surgical treatment of post-prostatectomy Incontinence: Use of the penile crura to compress the bulbous urethra (1972) J Urol, 107 (2), pp. 293-297Kaufman, J.J., Treatment of post-prostatectomy urinary Incontinence using a silicone gel prosthesis (1973) Br J Urol., 45 (6), pp. 646-653Comlter, C.V., Sullivan, M.P., Yalla, S.V., Retrograde leak point pressure for evaluating post-radical prostatectomy Incontinence (1997) Urology., 49 (2), pp. 231-236Stamey, T., Perineal compression of the corpum spongiosum of the bulbar urethra. An operation for post-radical prostatectomy incontinence (1994) J Urol(Part 2), 151 (PART. 2). , 490A, Abstract 1049Romano, S.V., Tecnica quinirgica del sling masculino (2005) Rev. Arg. De Urol., 70 (3)Sousa-Escandon, A., Rodriguez Gomez, J.I., Uribarri Gonzalez, C., Marquez-Queimadelos, A., Externally readjustable sling on male stress urinary incontinence treatment: Point of technique and preliminary results (2004) J Endourol., 18 (1), pp. 113-118