Introduction and Objectives
To assess the efficiency of the male sling operations in male urinary incontinence cases.
Material and Methods
A total 21 patients who had undergone male sling operation with urinary incontinence between January 2004 and April 2008 were enrolled to the study. Etiologic factors were radical prostatectomy in 14, TUR prostatectomy in 4, transvesical prostatectomy in 2 and traumatic uretral rupture in 1 patient. Bone sling and suprapubic sling techniques were performed to 13 and 8 patients, respectively. As sling material, we used prolen mesh in 20 patients and rectus fascial graft in 1 patient who had undergone suprapubic sling technique. In postoperative follow-up daily ped number, uroflowmetry, postvoiding residuel urine volume were assessed and UCLA/RAND examination system was used to determine the patients’ satisfaction.
All patients were asked to urinate in the postoperative second day. All patients who had undergone bone sling operation urinated easily, but in 2 patients who had undergone suprapubic sling procedure acute urinary retention developed. These two patients urinated easily after the suprapubic sutures were loosen. Complete urinary continence was achieved in 17 patients (81%), whereas minimal urinary incontinence was observed in 4 patients (19%), postoperatively. The cure rates at third month and at first year follow-up were 72.7% and 66.7%, respectively. According to UCLA/RAND examination system 66.7% of the patients were satisfied with the operations, whereas 33.3% of them were not.
According to our clinical experiences, male sling operation seems to be a very effective surgical procedure for the male urinary incontinence and it has high success rates especially in the mild and moderate urinary incontinence cases.
© 2009 European Association of Urology. Published by Elsevier Inc. All rights reserved.