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How is the operation performed?
The procedure is performed under general anaesthetic and, typically, is followed by one night in hospital. It involves placing a synthetic sling through a small incision in the perineum (the area between the scrotum and the anus) and two very small incisions in the thighs. It is thought that the procedure "re-locates" the urethral sphincter (part of the continence muscle mechanism) to its original position before the surgery which led to incontinence.
The video shows only the final position of the sling and not the entire procedure. The mesh supports the urethra (waterpipe) in an attempt to prevent urinary incontinence. In selected patients, it has a high rate of success.
Long-term success rates are unknown and it is possible that early success may lead to later failure of the sling with the return of incontinence.
Video - Sling procedure for incontinence in men
Features of this video (video courtesy of Mr Nikesh Thiruchelvam)
- Two clips holding each end of the synthetic mesh sling
- Retractors (yellow) revealing the urethra, running from top to bottom, with the sling attached to its front
- Tension on the ends of the sling repositions the urethra which prevents leakage of urine