[Endoscopic sling in the treatment of urine incontinence in males]

Using an original algorithm of examination, we have selected 26 of 74 patients suffering from urine incontinence after prostatic surgery for sling operation. Endoscopic sling was performed in group 1 (n = 17) patients, standard retropubic bulbourethral sling--in group 2 (n = 9) patients. Injuries of large vessels, prostatic gland or urinary bladder were not observed in group 1 while intraoperative injury of the paraprostatic venous plexus (1 case) and perforation of the bladder wall with a needle-perforator (1 case) took place in group 2. One year after surgery in group 1 there were 9 (53%) good outcomes, 4 (23.5%) satisfactory and 4 (23.5%) unsatisfactory results; in group 2--5 (56%), 1 (11%) and 3 (33%) patients, respectively. Our method of videocontrol over movement of the needles in the retropubic space proved to be a reliable technique of reducing the number of intraoperative complications and blood loss. However, the procedure can be used only in patients subjected to transurethral resection of the prostate and not subjected to open surgical interventions on the lesser pelvic organs.