Surgery can be performed to treat severe problems with stress incontinence when other treatments have been exhausted.
The surgery is performed in full anaesthesia and normally takes 2 hours. After the surgery you will have a catheter overnight. The catheter is removed the following morning and you can normally leave the hospital the day after surgery.
Leave of absence is usually required for 2-4 weeks after surgery and after 5 weeks you will have a follow-up appointment with a nurse and the surgeon who performed the surgery.
At Peritus Clinic we use two types of surgical methods: sling surgery and artificial urinary sphincter performed by highly specialised urologists.
Sling surgery ad modum AdvanceXP
Sling surgery has been used for more than 10 years and is a minimally invasive surgery with speedy recovery.
The surgeon creates a “sling” out of mesh or human tissue. It is placed under the urethra. The sling is like a hammock that lifts and supports your urethra and the neck of your bladder (where your bladder connects to your urethra) to help prevent leaks. The sling remains permanently and needs no maintenance.
The best results are seen with light to moderate stress incontinence (less than 4 sanitary pads per day) and in men whose sphincter is intact (can stop urinary flow).
Most men experience a marked decrease of urinary incontinence and some are complete incontinence free following the surgery. An evaluation shows that 92 percent are satisfied with the result and 94 percent would recommend the surgical method to a friend.
The method is not appropriate for patients who are undergoing or will be undergoing radiation therapy targeting the pelvic area.
Artificial urinary sphincter (AMS800)
This surgical method has been used for more than 40 years and is considered “the golden standard” of surgery for stress incontinence. The artificial urinary sphincter (AUS) functions as a healthy sphincter and allows the patient to control urination.
The AUS acts as a natural sphincter and consists of three liquid containing soft silicon parts that are inserted in surgery. The patient must understand and be able to handle the system for the surgery to be successful.
AUS is appropriate for all types of stress incontinence including for those patients who are undergoing or will be undergoing radiation therapy targeting the pelvic area, or have a completely non-functioning sphincter.
The majority of patients experience a clear improvement and some are completely incontinence free after the surgery. An evaluation shows that 90 percent of patients are satisfied with the result, 92 percent would repeat surgery if necessary, and 96 percent would recommend the surgical method to a friend.