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Polypropylene mesh tape for male sphincteric incontinence
Bulent Cetinel1, Oktay Demirkesen, Ali Riza Kural
1Department of Urology, Cerrahpasa School of Medicine, Istanbul University, Istanbul, Turkey. bulonal@yahoo.com
Scandinavian Journal of Urology and Nephrology
|March 15, 2005
Summary
A new polypropylene mesh tape (PMT) sling effectively treated male sphincteric incontinence in 75% of patients. This male sling procedure shows promise, particularly for incontinence after transurethral prostatectomy.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Male sphincteric incontinence presents a significant management challenge.
- Existing treatments for male sphincteric incontinence have limitations.
Purpose of the Study:
- To evaluate the efficacy and safety of a novel male sling technique using polypropylene mesh tape (PMT).
Main Methods:
- 12 patients with sphincteric incontinence underwent the PMT sling procedure.
- The technique involved perineal placement of the PMT sling, adjusted via suprapubic incision.
- Sphincterometry guided tape tension to achieve a retrograde leak point pressure of 30-50 cmH2O.
Main Results:
- 75% of patients (9 out of 12) experienced cure or improvement of urinary incontinence.
- The average operative time was 65 minutes, with a median follow-up of 31.6 months.
- No major complications like urethral erosion or wound infection were observed; one patient had temporary perineal numbness.
Conclusions:
- The PMT sling procedure appears to be a safe and effective treatment for male sphincteric incontinence.
- The technique demonstrated higher efficacy in cases related to transurethral prostatectomy compared to other etiologies.
- Long-term effectiveness requires further investigation with larger patient cohorts and extended follow-up.