Transobturator Sling Suspension for Male Urinary Incontinence Including Post-Radical Prostatectomy  Peter Rehder, Christian Gozzi  European Urology  Volume 52, Issue 3, Pages 860-867 (September 2007) DOI: 10.1016/j.eururo.2007.01.110 Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 1 The perineal body (arrow) demonstrates the posterior border of dissection. The urethral bulb should be completely free up to this point. European Urology 2007 52, 860-867DOI: (10.1016/j.eururo.2007.01.110) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 2 The left index finger receives the tip of the introducer needle, as the right hand of the surgeon rotates the helical needle through the obturator fossa. European Urology 2007 52, 860-867DOI: (10.1016/j.eururo.2007.01.110) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 3 Before tensioning the transobturator tape one can appreciate the fact that the dorsal border of the urethral bulb lies well inferior and anterior compared to the inside border of the upper medial aspect of the obturator fossa. European Urology 2007 52, 860-867DOI: (10.1016/j.eururo.2007.01.110) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 4 After tensioning of the sling, there was a proximal relocation of the urethral bulb well into the pelvic outlet by a distance of 3–4cm. European Urology 2007 52, 860-867DOI: (10.1016/j.eururo.2007.01.110) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 5 Diagrammatic representation of the positioning of the sling around the proximal part of the urethral bulb. European Urology 2007 52, 860-867DOI: (10.1016/j.eururo.2007.01.110) Copyright © 2007 European Association of Urology Terms and Conditions