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New Male Sling Procedure Helps Prostate Cancer Survivors Who Suffer From Urinary Incontinence

DALLAS, TX -- August 29, 2007 -- A new type of sling procedure can improve urinary control in patients who experience urinary incontinence secondary to successful surgery for prostate cancer.

Losing urine control because of coughing, laughing, sneezing, or lifting is both frustrating and debilitating for the more than 2 million men worldwide afflicted with urinary incontinence. Many of these men are prostate cancer survivors, having undergone surgery for the treatment of their cancer with the often unavoidable outcome of a damaged urinary sphincter.

Allen Morey, MD, professor of urology and a subspecialist in reconstructive urology at UT Southwestern Medical Center suggested a new type of male sling procedure to improve urinary control in prostate cancer survivors.

Although slings have been used widely for years in women to improve urinary control, they are a relatively new treatment for men. Prior slings were anchored to the pelvis with small bone screws to secure fixation, but that was painful for many patients.

The new type of device, called the AdVance sling, involves passage of a thin strip of mesh between pinpoint incisions on the inner thighs, which is then passed deep beneath the bottom of the urethra to increase support in precisely the area where the tissues are weakened. This additional flow resistance prevents the leakage of urine when abdominal pressure increases. The procedure is best suited for mild to moderate urinary incontinence, usually defined as patients who wear one to four pads per day to absorb any leakage.

"I believe there are many men who have a 'nuisance' level of urinary incontinence after prostate cancer treatment which is bothersome during strenuous activities," Dr. Morey said. "To cope, these men often restrict their activities or limit their fluid intake. We can now offer these men a chance to return to their daily activities with minimal or no pain. They are the ones who would benefit from this low-risk procedure."

Urinary control has improved dramatically in the first patient at UT Southwestern to be treated with the AdVance sling.

SOURCE: UT Southwestern Medical Center

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