Surgical technique using AdVance Sling placement in the treatment of post-prostatectomy urinary incontinence
Int. braz. j. urol
;
33(2): 231-237, Mar.-Apr. 2007. ilus
Article
in English
| LILACS
| ID: lil-455599
ABSTRACT
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.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Prostatectomy
/
Surgical Mesh
/
Urinary Incontinence, Stress
/
Suburethral Slings
Type of study:
Etiology study
/
Practice guideline
/
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Int. braz. j. urol
Journal subject:
Urology
Year:
2007
Type:
Article
Affiliation country:
United States
Institution/Affiliation country:
University of Chicago/US
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