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Male Sling for Urinary Incontinence

 What is the male sling?
 Why is this done?
 How do I prepare for this procedure?
 What happens during the procedure?
 What happens after the procedure?
 What are the risks of this procedure?

What is the male sling?

The male sling is a surgical treatment for men who have problems with bladder control after prostate surgery. The medical term for problems with bladder control is urinary incontinence.

Why is this done?

This procedure is done to improve bladder control after surgery for: an enlarged prostate or prostate cancer.

How do I prepare for this procedure?

What happens during the procedure?

The procedure may be done at a surgery center or the hospital.

You will be given a regional or general anesthetic before the procedure to keep you from feeling pain. Local and regional anesthesia numb part of your body while you stay awake. You may be given medicine with the local or regional anesthetic to help you relax. General anesthesia relaxes your muscles and you will be asleep.

Your healthcare provider will make a small cut (incision) in the area between your anus and scrotum. Meshlike surgical tape or another material will be placed against the urethra. (The urethra is the tube that drains urine from your bladder) This sling of tape will support and raise the urethra in a position that helps improve bladder control.

What happens after the procedure?

After the procedure you may stay in a recovery area for at least a few hours or overnight at the hospital.

You may go home with a catheter, which is a small tube used to drain urine from your bladder. Your healthcare provider will tell you how to take care of the catheter and when it can be removed.

You may have some pain after the procedure. Your healthcare provider may give you pain medicine.

Ask your healthcare provider:

Make sure you know when you should come back for a checkup.

What are the risks of this procedure?

Your healthcare provider will explain the procedure and any risks. Some possible risks include:

Ask your healthcare provider how these risks apply to you. Be sure to discuss any other questions or concerns that you may have.

healthinformatics info

Reference Sources:

Al-Najar A, Kaufmann S, Boy S, Naumann CM, Jünemann PK, Van Der Horst C.Management of recurrent post-prostatectomy incontinence after previous failed retrourethral male slings. Can Urol Assoc J. 2011 Apr;5(2):107-11.

Basiri A, Kilani H. Adjustable male sling: our experiences with placement of adjustable male sling, including a case of exstrophy-epispadias: initial report.

Bauer RM, Gozzi C, Hübner W, Nitti VW, Novara G, Peterson A, Sandhu JS, Stief CG.Contemporary management of postprostatectomy incontinence.Eur Urol. 2011 Jun;59(6):985-96. Epub 2011 Mar 21.

Chau VR, et al. Male sling procedures for stress urinary incontinence. Urol Nurs. 2013 Jan-Feb;33(1):9-14,

Comu, JN;  Sèbe P, Ciofu C, Peyrat L, Beley S, Tligui M, Lukacs B, Traxer O, Cussenot O, Haab F. The AdVance Transobturator Male Sling for Postprostatectomy Incontinence: Clinical Results of a Prospective Evaluation after a Minimum Follow-up of 6 Months. Eur urol,, Sep 8, 2009.

Crites MA, Sorial A, Ghoniem GM.:Risk Factors for Male Slings: A Comparative Study of Two Techniques.Urology. 2011 Apr 12.

Dikranian AH, Chang JH, Rhee EY, Aboseif SR: The male perineal sling: comparison of sling materials. J Urol.  Aug;172(2):608-1, 2004.

Gill, BC;  Swartz MA, Klein JB, Rackley RR, Montague DK, Vasavada SP, Angermeier KW. Patient perceived effectiveness of a new male sling as treatment for post-prostatectomy incontinence. J. Urol.: 183(1), 247, 2010.

Morey AF. Re: treatment of postprostatectomy male urinary incontinence with the transobturator retroluminal repositioning sling suspension: 3-year follow-up. J Urol. 2013 Feb;189(2):585-6.

The Cleveland Clinic website; Male Sling Procedure for Urinary Incontinence; Accessed at http://my.clevelandclinic.org/services/sling_procedure.hic_male_sling_procedure_for_urinary_incontinence on 1/26/10.

The University of Washington Department of Urology website; Artificial urinary sphincter (AUS) & male sling; Accessed at http://depts.Washington.edu.uroweb/ptcare/treatments/surgical/aus.html on 1/26/10.

Urol Clin North Am. 2011 Feb;38(1):73-81.

Urol J. 2013 Winter;10(1):802-6.

Weinberger JM, et al. Mesh Infection of a Male Sling. J Urol. 2013 Jun 6. pii: S0022-5347(13)04569-2.

Winters JC.Male slings in the treatment of sphincteric incompetence.

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Last Modified: 2013-08-06

Last Reviewed: 2013-07-02

Website Updated: March 2014

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This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.

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