Wednesday, March 19, 2008

key points on male sling

read below from literature; we know erosion will be a delayed problem.

tsk tsk tsk


Even though there was no erosion in the first series of male slings that were presented, we know from previous experience with female population that the use of synthetic material under the urethra bears a risk of erosion of adjacent tissues. Such complication, quite frequent with the use of some substances that were employed in the past for treating female SUI, has turned the autologous fascia into the standard material for treatment of SUI in incontinent women.
The use of orthopedic anchors placed in the ischiopubic rami allows the proper fixation of the fascial flap to the bony tissue in a safe and technically simple way. The option for the use of anchors is based in the easy handling, low cost, safety and comfort since the suture thread is already present in the material. The cost of these anchors is less than 5% of the artificial sphincter's value, making the procedure widely advantageous even when using 4 units for proper fixation.

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