The male sling procedure was developed to help men with urinary incontinence due to sphincter weakness or insufficiency after pelvic surgery, usually post-radical prostatectomy. The procedure is most successful for men with mild-to-moderate urinary incontinence (2 to 4 pads per day or less).
One important advantage of the male sling is that it can be performed with a fairly short recovery. The procedure itself entails placement of a synthetic mesh in the groin area to compress the urethra under it. Most patients have their catheters stay in overnight and can be removed in the hospital in the case of an overnight stay or elsewhere the next day.
There are several slings on the market, but two most commonly used: the “TOMS” from CL Medical and the “Advance” from American Medical Systems.
The “TOMS” is the market leader in France and is implanted with a minimally invasive technique.
The technique recommended for the “Advance” is relatively more invasive and results in more complications such a retention which is rarely seen with the “TOMS”. Clinical trials report similar success rates for the two slings.
If the TOMS procedure does not produce satisfactory results the is the option to implant an Artificial Sphincter.