An Operation for the Cure of Total Urinary Incontinence in the Male: Report of One Case

Die Harninkontinenz des Mannes. Faszienzügelplastik zur Therapie der Streßinkontinenz

“…Die Variation der operativen Technik der Schiingenplastiken beim Mann betreffen die Schlingen-materialien (autolog, alloplastisch), den Entnahmeort von Faszienstreifen (Rektusscheide, Externusfaszie, Fascia lata), den operativen Zugangsweg (abdominal, perineal, abdomino-perineal), den Verlauf der Faszienschlinge (retropubisch, antepubisch) sowie die Plazierung der Schlinge in Beziehung zur Harnröhre (Blasenhals, Prostata, Apex prostatae, membranöse Harnröhre, bulbäre Harnröhre) (Tab. 5) (9,10,15,21,24,25,43,45,51,52,53,55,69,70,72,73). Obwohl zumeist gute bis sehr gute Erfolgsraten berichtet werden (Tab.…”

“…Da die Faszienzügelplastik so angelegt war, daß eine direkte Kompression des Urethraersatzes ausgeschlossen werden konnte, muß dieser positive Effekt durch Elevation und Suspension des Beckenbodens und Approximation der Muskulatur im Bereich des Beckenbodendurchtrittes erklärt werden. Dieser Mechanismus würde zwanglos die guten Resultate verschiedener Techniken der Faszienzügelplastik zur Korrektur der Harninkontinenz des Mannes erklären, bei denen ein retropubischer Verlauf der Faszienschlinge zur Anwendung kam (15,24,25,43,45,51,52,53,55,72).…”

Treatment of postprostatectomy incontinence: Is the bulbourethral sling a viable alternative to the artificial urinary sphincter?

“…The concept of a male bulbourethral sling for postprostatectomy incontinence is not a recent concept proposed by the world's urologic community [9][10][11]. Descriptions of a postprostatectomy incontinence bulbourethral sling have included the use of retropubic needle passage (modified Stamey type procedure) with artificial graft material supporting the urethra [12][13][14]15••], the use of autologous fascia with passage around the urethra in a wrap-around technique from the abdomen to the perineum (a-p wrap) [1,9,10], as well as suburethral sling suspension with bone anchors (BAS) [3,16].…”

“…Descriptions of a postprostatectomy incontinence bulbourethral sling have included the use of retropubic needle passage (modified Stamey type procedure) with artificial graft material supporting the urethra [12][13][14]15••], the use of autologous fascia with passage around the urethra in a wrap-around technique from the abdomen to the perineum (a-p wrap) [1,9,10], as well as suburethral sling suspension with bone anchors (BAS) [3,16]. It is felt that placement of a sling alleviates incontinence by compressing and elevating the urethra, thereby increasing urethral resistance to abdominal pressure [15••].…”

Free Fascial Sling to Correct Urinary Incontinence After Prostatic Surgery: Results of Eight Operated Patients

“…A large number of operations have been tried, among these fascial sling methods (for a review, see Abeshouse, 1935;Berry, 1965). The fascial sling has been placed antero-pubically (Uhle, 1957) or retropubically (Frangenheim, 1914;Strong & van Buskirk, 1951;Gregoir, 1%9). The sling has also been taken from the fascia lata, which is stronger than the rectus abdominus fascia (Jorecki, 1914).…”