G M Ghoniem1, W Bryan. 1. Section of Voiding Dysfunction, Female Urology & Reconstruction, Cleveland Clinic, Ft. Lauderdale, Florid, USA.
Abstract
PURPOSE: Postprostatectomy incontinence remains a significant problem for both patients and their urologists. Treatment options include placement of an artificial urinary sphincter or collagen injections. Many patients with only minimal or moderate stress incontinence after prostatectomy shy away from AUS placement and do not benefit from collagen injections. We evaluate the placement of the male perineal sling as an option in the treatment of post-prostatectomy stress urinary incontinence. METHODS AND MATERIALS: Ten patients had placement of a male perineal sling with cadaveric fascia lata. Their pre- and postoperative symptoms, including quality of life scores, were evaluated with a standard validated incontinence questionnaire. RESULTS: Preliminary results show that 70% of patients were dry, 10% showed improvement, and 20% were dry but had sudden return of their symptoms. The last two patients had pelvic x-rays which revealed migration of the bone anchors out of the pubic rami. All patients had improvement in their quality of life. Mean operative time was 30 minutes, and no operative complications were encountered. CONCLUSIONS: The male perineal sling is a quick and simple procedure in the treatment of post-prostatectomy stress urinary incontinence.
PURPOSE: Postprostatectomy incontinence remains a significant problem for both patients and their urologists. Treatment options include placement of an artificial urinary sphincter or collagen injections. Many patients with only minimal or moderate stress incontinence after prostatectomy shy away from AUS placement and do not benefit from collagen injections. We evaluate the placement of the male perineal sling as an option in the treatment of post-prostatectomy stress urinary incontinence. METHODS AND MATERIALS: Ten patients had placement of a male perineal sling with cadaveric fascia lata. Their pre- and postoperative symptoms, including quality of life scores, were evaluated with a standard validated incontinence questionnaire. RESULTS: Preliminary results show that 70% of patients were dry, 10% showed improvement, and 20% were dry but had sudden return of their symptoms. The last two patients had pelvic x-rays which revealed migration of the bone anchors out of the pubic rami. All patients had improvement in their quality of life. Mean operative time was 30 minutes, and no operative complications were encountered. CONCLUSIONS: The male perineal sling is a quick and simple procedure in the treatment of post-prostatectomy stress urinary incontinence.