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Male sling is as good as more complex surgery for incontinence after prostate surgery

Source
NIHR
Year of publication
2023
Abstract

Two surgical methods are similarly effective in reducing men’s leakage of urine (incontinence) after prostate surgery, research found. The findings will help men make an informed choice about surgery.

Incontinence after prostate surgery is often addressed by a further procedure to fit an inflatable cuff around the urethra (the tube that drains urine from the bladder). This is called an artificial urinary sphincter; men control the cuff with a pump. A newer, simpler procedure, called a sling, fits a length of tape to support the bladder.

Before this study, it was unclear how the two techniques compared. This study assessed the procedures in men who experienced incontinence for more than 12 months after prostate surgery. It found that both methods improved men’s quality of life, and serious complications were rare. However, few men in either group achieved zero leakage.

The results will allow surgeons to better explain the benefits, drawbacks, and likelihood of success of both procedures. This will help men make an informed choice. But the researchers caution that men need realistic expectations ahead of either procedure.

Date added
10/05/2023
Created by
Sylvia Shelton
Published by
Current Awareness Service for Health