Surgical technique using AdVance™ Sling placement in the treatment of post-prostatectomy urinary incontinence

International Brazilian Journal of Urology

关键词: prostatectomy;    urinary incontinence;    stress;    prostheses and implants;    suburethral slings;   

DOI  :  10.1590/S1677-55382007000200015

来源: DOAJ

【 摘 要 】

OBJECTIVES: To describe and illustrate a new minimally invasive approach to the treatment of male stress urinary incontinence following prostatectomy. SURGICAL TECHNIQUE: Our initial experience consisted of four patients treated with the Advance sling for post-prostatectomy urinary incontinence. Sling placement involves the following steps: 1. Urethral dissection and mobilization, 2. Identification of surgical landmarks, 3. Placement of needle passers through the obturator foramen, 4. Mesh advancement, 5. Mesh tensioning and fixation, 6. Incision closure. COMMENTS: Based on our initial experience, we believe that the Advance Male Sling System may be a safe technique for the treatment of male stress urinary incontinence. This technique is easy to perform and may offer a reproducible, transobturator approach. Further patient accrual is ongoing to assess the safety and reproducibility of this technique. Also, additional study will focus on efficacy standards and complication rates.

【 授权许可】

Unknown