Unlike the artificial urinary sphincter implant the sling acts as a "hammock", repositioning and supporting the urethra to help restore normal bladder control. It is intended and designed to treat all levels of stress urinary incontinence. It is made out of synthetic mesh and it is placed entirely inside the body, making it undetectable to others.
Most men notice an immediate improvement or full continence straight after the procedure. At your doctor's discretion you may resume normal daily activities 1-2 weeks later.
The greatest advantage of the sling system is the fact that you will not have to do anything to operate the device.
The sling system is not indicated in patients who have undergone pelvic radiation or cryotherapy.
There is currently no scientific evidence to show which of these tow surgeries is best for any severity of incontinence. Our unit at the Wrexham Maelor Hospital is participating in a large multi-centre study to compare advantages and disadvantages of sphincter and sling surgery. The so-called MASTER trial (Male synthetic sling versus Artificial urinary Sphincter Trial for men with urodynamic stress incontinence after prostate surgery) will look at the clinical effectiveness of implanting the male sling versus the sphincter in terms of patient-reported postoperative incontinence at 12 months following the procedure. It will also assess the cost-effectiveness measured in quality-adjusted life years at 24 months. This will determine whether the male sling give equivalent effectiveness for cure of incontinence compared to standard sphincter surgery.
If you are affected by stress urinary incontinence after prostate surgery and you would like to participate in the trial, please contact myself or a member of my team.
You will find more information on the MASTER trial by following this link
Christian Seipp MD PhD
Consultant Urological Surgeon