R Migliari, D Pistolesi, M De Angelis  European Urology 

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Presentation transcript:

Polypropilene Sling of the Bulbar Urethra for Post-Radical Prostatectomy Incontinence  R Migliari, D Pistolesi, M De Angelis  European Urology  Volume 43, Issue 2, Pages 152-157 (February 2003) DOI: 10.1016/S0302-2838(02)00542-0

Fig. 1 After the bulbar urethra is displaced medially the perineal membrane immediately below the ischial-symphyseal arch is identified. European Urology 2003 43, 152-157DOI: (10.1016/S0302-2838(02)00542-0)

Fig. 2 The 5cm×4cm prolene sling before the implant. European Urology 2003 43, 152-157DOI: (10.1016/S0302-2838(02)00542-0)

Fig. 3 The modified carrier needle is passed from the suprapubic incision to the perineal incision as in the Raz procedure in the female. European Urology 2003 43, 152-157DOI: (10.1016/S0302-2838(02)00542-0)

Fig. 4 The prolene mesh in situ. European Urology 2003 43, 152-157DOI: (10.1016/S0302-2838(02)00542-0)

Fig. 5 The large sling is placed against the corpus spongiosum of the bulbar urethra and the terminal ends of each prolene suture are passed through a rectangular 3×2 prolene mesh positioned against the rectus fascia and successively clamped with a mosquito. European Urology 2003 43, 152-157DOI: (10.1016/S0302-2838(02)00542-0)

Fig. 6 Retrograde urethrography before surgical treatment (pt#03). European Urology 2003 43, 152-157DOI: (10.1016/S0302-2838(02)00542-0)

Fig. 7 Antegrade urethrography after surgical treatment (pt#03). European Urology 2003 43, 152-157DOI: (10.1016/S0302-2838(02)00542-0)