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Welcome to NMC Urocare

Incontinence Procedures (male)

Open Advanced Sling Procedure

Stress urinary incontinence is the leakage of urine while coughing, laughing or sneezing due to weak bladder muscles, and usually occurs in men due to a prior prostate gland surgery. The condition can be treated with advanced sling procedures, which involve the placement of a sling made of body tissue or synthetic material to support the urethra.

The sling procedure is performed under general anesthesia. An examination of the bladder and urethra is done prior to the surgery. Your surgeon makes an incision between your scrotum and anus and 2 small incisions in the groin region. The sling is inserted through the scrotal incision and placed under the urethra. The ends are brought out through the incisions in the groin to form a hammock. A catheter is placed to help in urination and the incisions are sutured. Like all other surgeries, open advanced sling procedure may be associated with certain side effects:

  • Difficulty in urination
  • infection of the wound
  • Overactive bladder
  • Failure of the treatment
  • Reduction in the efficiency of treatment over time

There are alternate minimally invasive/laparoscopic procedures that can be availed of. The open advanced sling procedure is restricted to selected cases only. Your surgeon will discuss your options with you based on your particular medical history.

NMC UroCare provides specialized and experienced urologists and the best available quality treatments. For further information regarding Open Advanced Sling Procedure, please contact NMC UroCare at http://www.nmcurocare.ae/contact-us/

Open Artificial Sphincter Implant

Stress urinary incontinence is the leakage of urine while laughing, coughing or sneezing, and is caused due to weak sphincter muscles that fail to control the bladder. Stress urinary incontinence can be treated with artificial inflatable sphincters. The artificial sphincter consists of 3 parts:

  • Cuff: controls urine flow through the urethra
  • Balloon: regulates pressure in the cuff
  • Pump: inflates cuff

The implantation of the artificial sphincter is carried out under general or spinal anesthesia. Your surgeon makes incisions in the scrotum and lower abdomen to insert the artificial sphincter. First, the cuff is inserted through the scrotal cut and placed around the urethra. The balloon is then positioned below the abdominal tissue and the pump is placed in the scrotum. The inflated cuff squeezes the urethra close and prevents the leakage of urine from the bladder. When you feel the urge to urinate, you can deflate the cuff by squeezing the pump. This transfers fluid from the cuff into the balloon and releases the pressure around the urethra. The cuff re-inflates on its own in 90 seconds.

Implantation of the sphincter is generally safe, but like all surgeries, the procedure may be associated with certain side effects, such as damage of the bladder and urethra, difficulties in emptying the bladder, infection, wearing out of the device and failure of the procedure.

There are alternate minimally invasive/laparoscopic procedures that can be availed of. The open artificial sphincter implant is restricted to selected cases only. Your surgeon will discuss your options with you based on your particular medical history.

NMC UroCare provides specialized and experienced urologists and the best available quality treatments. For further information regarding Open Artificial Sphincter Implant, please contact NMC UroCare at http://www.nmcurocare.ae/contact-us/.