title: Readjustable transobturator sling: a novel sling procedure for male urinary incontinence.
abstract: Post-prostatectomy incontinence remains a significant problem for both patients and urologists. We report a case and the surgical technique of successful sling in the treatment of post-prostatectomy urinary incontinence. Sling surgery was performed on a 69-year-old male patient with severe urinary incontinence (6 pads/day) following radical prostatectomy. The procedure was conducted through the transobturator approach using a sling with a silicone foam pad to protect the urethra. At the 7-month follow-up the patient is using only 1 pad/day. We consider this operation an alternative to artificial urinary sphincter in cases of male sphincter incontinence.
authors.affiliation: Division of Urology, Universidade Estadual de Campinas, UNICAMP, Campinas, Brazil.
authors.forename: Paulo C R
authors.initials: PC
authors.lastname: Palma
authors.forename: Míriam
authors.initials: M
authors.lastname: Dambros
authors.forename: Marcelo
authors.initials: M
authors.lastname: Thiel
authors.forename: Victor
authors.initials: V
authors.lastname: Romano
authors.forename: Osvaldo
authors.initials: O
authors.lastname: Griguol
authors.forename: Cássio L Z
authors.initials: CL
authors.lastname: Riccetto
authors.forename: Nelson R
authors.initials: NR
authors.lastname: Netto
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D019736:Prostheses and Implants; D011474:Prosthesis Design; D014549:Urinary Incontinence / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*