Readjustable Transobturator Sling: A Novel Sling Procedure for Male Urinary Incontinence

Abstract

Post-prostatectomy incontinence remains a significant problem for both patients and urologists. We report a case and the surgical technique of successful sling in the treatment of post-prostatectomy urinary incontinence. Sling surgery was performed on a 69-year-old male patient with severe urinary incontinence (6 pads/day) following radical prostatectomy. The procedure was conducted through the transobturator approach using a sling with a silicone foam pad to protect the urethra. At the 7-month follow-up the patient is using only 1 pad/day. We consider this operation an alternative to artificial urinary sphincter in cases of male sphincter incontinence.

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

“…The article published in the present issue of the International Braz J Urol by Rapp and co-workers is quite interesting as it seems to show promise that good results can be also achieved passing and fixing the sling through the obturator foramen, as other authors have already shown (6). Although the number of patients studied is still too low and no follow-up is provided yet, this approach must be viewed with great interest because of the transobturator approach used, which could definitely become the standard one, for its ease, reproducibility and low complications rate, provided it will stand the proof of time.…”

Urethral slings placed by the transobturator approach: Evolution in the technique and review of the Literature

“…This 69-year-old patient suffered from severe SUI after radical prostatectomy for prostate cancer. After placement of a transobturator urethral sling, his urinary pad use decreased from six pads daily to one pad daily at the 7-month follow-up [45].…”

Efficacy and Complications of the Adjustable Sling System ArgusT for Male Incontinence: Results of a Prospective 2-Center Study

“…[2][3][4][5][6][7]12 Reported continence rate for the ARGUS Classic is 17%-79% in a maximum follow-up of up to 45 months. In general, onethird of the patients need readjustments.…”