Historical Background and Evolution in Male Sling Surgery



It is estimated that approximately 22.6 million men are affected by urinary incontinence and 8.2 million have moderate to severe incontinence [1]. Pure stress urinary incontinence (SUI) accounts for only a subset (12.5%) of these patients, yet it remains a substantial problem. In the era of robot-assisted laparoscopic prostatectomy, the incidence of 12 months of urinary incontinence varies between 4 and 31%. Of these, only 6–9% of men are bothered enough to elect surgical treatment for their incontinence [2, 3]. There has been an evolution in the surgical procedures for the management of post-prostatectomy incontinence over the years. Only few show promise and continue to be in use at present time. Male sling procedures remain a alternative option for mild to moderate incontinence while artificial urinary sphincter continues to enjoy its gold standard status.



The author wants to acknowledge Dirk Schultheiss, M.D., Chairman, History Office, European Association of Urology (EAU), for the resource provided in “A Brief History of Urinary Incontinence and its Treatment.”


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Massachusetts General Hospital, Harvard Medical SchoolBostonUSA

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