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Additionally, despite the novel treatment options (slings, urethral bulking injections, stem-cell therapy), AUS is considered to be the gold standard surgical management both for stress incontinence in men and for urinary incontinence developed as a complication of surgery, such as prostatectomy, cystectomy and TURP. [8] [4] [3]
The procedure of choice for stress urinary incontinence in females is what is called a sling procedure. A sling implant usually consists of a synthetic mesh material in the shape of a narrow ribbon but sometimes a biomaterial (bovine or porcine) or the patients own tissue that is placed under the urethra through one vaginal incision and two ...
In men, prostate surgery (prostatectomy, TURP, etc) and radiation therapy can damage the sphincter and cause stress incontinence. [7] Neurogenic bladder dysfunction can involve a malfunctioning urethral sphincter. [8] Urge incontinence can happen when the urethra cannot hold the urine in as the bladder contracts uncontrollably. [9]
Women and men that have persistent incontinence despite optimal conservative therapy may be candidates for surgery. Surgery may be used to help stress or overflow incontinence. [8] Common surgical techniques for stress incontinence include slings, tension-free vaginal tape, bladder suspension, artificial urinary sphincters, among others. [8]
Midurethral sling; Pubovaginal sling; Mini sling; Surgical meshes have come to the public attention due to safety concerns with vaginal mesh used to treat pelvic organ prolapse, however, the urethral sling surgeries have been demonstrated to be highly effective with low risk of adverse events. [1]
The sling procedure. Slings are or considered the first line surgical treatment for women with stress incontinence [5] Artificial urinary sphincters are considered first line surgical treatment for certain types of incontinence in men [5] Burch colposuspension is a retropubic procedure used in treatment of urinary incontinence in women [1]
Male slings are an alternative for mild to moderate post-prostatectomy incontinence. [12] [13] Retrograde ejaculation due to injury of the prostatic urethra. This is one of the most frequent complications of the procedure, occurring in about 65% of patients. [14] Bladder neck stenosis.
A chin sling is a synthetic lining used in chin augmentation to lift the tissues under the chin and neck.The sling is surgically implanted under the skin of the chin and hooked behind the ears, giving a more youthful appearance, and reversing the effects of aging such as accumulated fat, lost skin elasticity and stretched muscle lining, all of which cause the neck to droop and sag.
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