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Welcome to NMC Urocare

Advanced sling procedures

Male Sling System is an innovative, safe and minimally invasive retro-urethral surgical sling implant for the treatment of mild stress urinary incontinence (SUI). It is a revolutionary mechanism of action that can treat or restore normal sphincter function in incontinent men. The device is specially prepared for the male suffering from mild to moderate SUI resulting from prostatectomy or TURP.

Benefits

  • Surgery can be performed as an out-patient procedure.
  • Spinal or general anaesthesia may be used.
  • Only three small incisions are required.
  • Recovery is rapid.
  • No device activation is required.
  • Immediate improvement from the incontinence is experienced.
  • Restored dignity and quality of life is obtained by the patient.

Features

The device consists of two single-use needle passers and a sling made up of synthetic mesh, with attached connectors. The mesh is made up of polypropylene and is used to reposition and support the urethra and to restore normal bladder control.

Placement and function

The sling is usually positioned via transobturator approach to optimize the sphincter’s interaction with the urethra.. The mechanism of the device is to restore or improve the normal sphincteric function by repositioning the external sphincter back into the pelvis. After the implantation most patients are continent immediately and may resume normal, non-strenuous activities within a few days.

Procedure

The implantation is usually carried out under spinal or general anaesthesia and is usually completed in less than an hour as an outpatient procedure. The sling may be placed inside the body through three small incisions. The sling is placed under the urethra in a way that it doesn’t compress the urethra and decreases the potential for urethral erosion. The sling optimizes the sphincter function and provides immediate improvement of the condition.

Indications

  • Mild to moderate Stress urinary incontinence
  • Residual sphincter function
  • Patients who seek minimally invasive surgery
  • Patients who are not candidates for an artificial urinary sphincter (AUS)

Contraindications

  • Presence of urinary tract infections
  • Patients with blood coagulation disorders
  • Patients with a compromised immune system or any other condition that would compromise healing
  • Any renal insufficiency and upper urinary tract relative obstruction
  • Patients with history of pelvic radiation therapy
  • Already artificial urinary sphincter implanted