Urologists at Urology Associates perform male sling procedures as an outpatient in properly selected patients. The Male Sling is a safe and effective surgical solution for mild to moderate stress urinary incontinence in men resulting from prostatectomy. A "sling" or hammock is made from synthetic mesh and placed inside the body to place pressure upon the urethra, reducing urinary leakage and providing urinary control. Once implanted, there is nothing to manipulate or operate—it works on its own. You will urinate in the same manner—but where and when you want.

Most patients are continent immediately following the procedure and can resume normal, non-strenuous activities within a few days.

Male sling benefits to men suffering from urinary incontinence:

• Outpatient surgery
  
• May be performed under spinal or general anesthesia
  
• Single, small incision in the perineum only
  
• Recovery is often rapid
  
• Often no catheter necessary upon discharge
  
• No patient activation required
  
• Immediate improvement
  
• Restored dignity and quality of life

Procedure

Sling placement is usually performed as an outpatient procedure, which generally lasts approximately 45 minutes.
In general, placing the sling involves the following steps. (Your doctor's method may vary slightly from this one.)

1. A small incision is made below the scrotum in the perineum
   
2. Three miniature titanium screws are placed into the pubic bone on both sides of the urethra
   
3. The doctor positions the sling (a small piece of synthetic mesh) so that it places pressure on the urethra
   
4. The sling is secured to the screws in the pubic bone
   
5. The doctor closes the incision

What to Expect After the Procedure

Your doctor may insert a catheter through your urethra to drain your bladder immediately after the surgery. This catheter is usually removed the same day or shortly thereafter.

Recovery from the surgery is usually quick, and most men report immediate improvement in their urinary leakage following catheter removal.

Your doctor may prescribe oral antibiotics for a period of time following the procedure while pain medications are prescribed on an as needed basis.

Normal activities can be resumed after a few days, although patients should avoid straddle activities, physical straining and lifting for one to two months.