It was reported in a journal article with title: surgical management of male incontinence, with prolene mesh fixing with prolene sutures; a prospective novel study for the treatment of male incontinence at tertiary care hospital.This study aimed to highlight the outcome of surgical treatment in terms of safety, efficacy and cost-effectiveness in the management of urinary incontinence.This prospective experimental study, conducted from july 2012 to august 2016, involves a total of 48 male patients (mean age: 55.25±12.29) with urinary incontinence.After the bulbospongiosis muscle and urethra became intact, 3 1/0 prolene sutures (ethicon) were taken through the periosteum on each side.Pyramid shaped piece of prolene mesh (ethicon) approx., 2cm at top end 3cm at lower end, anchored on each side with prolene suture (ethicon).Tension over urethra was controlled with impeding flow of irrigant.Mesh was tightened until flow stops.Anchoring sutures were tied.Wound was then closed in layers with absorbable suture and catheter was placed for 24 hrs.Reported complication included leakage while bending (n-12), no improvement in symptoms (n-8), perineal pain after surgery (n-12), infection (n-5), urinary retention (n-3), and erosion of sling (n-2).In conclusion, this study predicted that in patients having moderate to severe urinary incontinence, prolene mesh repair anchoring with prolene suture can be an efficient and cost effective treatment for the urinary incontinence with least complications.
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