Male Sling

The male sling is indicated for those with stress incontinence. Small incision is made below the scrotum the sling is positioned on the urethra and attached to the bony prominent using miniature titanium screws to secure the device. The sling is designed to support the urethra.

Video

For a detailed, informative video on The Male Sling as an option for treatment of urinary incontinence entitled ‘Incontinence Surgery: The Male Sling’, click here. There’s a PDF document that contains a transcript of the video at this link.

What to expect after surgery

You may wake up from surgery with a foley catheter in place. The catheter will be removed in 24 hours to 1 week. The catheter is left in place to allow time for swelling to resolve post surgery.

  • Your bladder habits may be different for the first 1 to 2 weeks while you are recovering.
  • On the day after surgery it is very important to get out of bed and begin walking. This will help prevent Deep Vein Thrombosis (DVT). Please follow the DVT prevention handout.
  • Your bowels may be sluggish after surgery and pain medication can increase constipation. Follow the postoperative bowel program handout.
  • You will have steri strips over your incisions and these will fall off in 5-7 days.
  • You will have bruising and swelling of the scrotum, penis, and or lower abdomen this is normal. A towel roll may be placed under your scrotum to help keep the swelling down. Wear supportive underwear or an athletic support.
  • You can use a heating pad on the incision to help with muscle soreness.
  • Use your pain medication as directed if needed you may replace your oral narcotics with acetaminophen when tolerated.

Activity and postoperative restrictions

  • Walking and light exercise is important in prevent Deep Vein Thrombosis
  • You may shower when you go home—do not bathe or sit in a hot tub for 4 to 6 weeks.
  • You should expect to return to work in 1 to 2 weeks.
  • You should reduce your activity levels for the first 2 to 3 weeks while healing
  • Use stairs gently for the first week
  • No heavy lifting, pulling or pushing over 10 to 15 pounds for 4 to 6 weeks.
  • No strenuous exercising for 3 to 4 weeks
  • No sexual intercourse for 4 to 6 weeks

If you have had a perineal incision (an incision between the scrotum and the anus) sitting can be difficult and uncomfortable. Do not sit directly on the incision instead sit with your weight shifted back onto your buttocks. You may need an air-filled donut or a soft cushion to sit on for the first 4 weeks after surgery.

Do not put direct pressure on the incision for 6 months. This include activities that require you to straddle anything, such as riding a bicycle, motorcycle, ATV, horseback riding, etc.

Avoid bending if possible this can increase your abdominal pressure. If you must pick something up, bend with your knees not at your waist.

Do not drive for the first 1 to 2 weeks. Do not drive while taking narcotics.

Diet

You may return to your normal diet. You may want to avoid acidic foods and drinks that may cause burning with urination. Drinks with caffeine may cause frequency and irritation to your bladder. If you’re not on a sugar or salt restriction diet, drink 8 to 10 glasses of water and Gatorade daily to avoid constipation and to prevent a possible urinary tract infection.

Medication

  • You should resume your pre-surgery medication unless told otherwise.
  • Do not take any aspirin products for the first two weeks.
  • If you are taking Warfrin or Plavix this should be followed by your primary care provider postoperatively. They will discuss with you when to resume medication and dosing recommendations.
  • If you are taking pain medication or iron supplements you should also be taking a stool softener to keep the stool soft.
  • If your pain is mild you can stop taking the pain medication and switch to acetaminophen.
  • You will be giving a prescription for oral antibiotics postoperative.

Medications and items to have at home before surgery

  • Stool Softener
  • Fiber
  • Milk of Magnesia
  • Acetaminophen
  • Frozen peas or Ice packs
  • Snug fitting jockey underwear or boxer briefs
  • Air-filled donut

If you experience any of these symptoms please call Urology Northwest 425-275-5555

  • Fever over 101 Fahrenheit by mouth
  • Pain not relieved by medication
  • Rash, itching after taking pain medication
  • Severe swelling of the scrotum or penis
  • Continued nausea and vomiting
  • Abnormal swelling around operative site
  • Increased redness, warmth, hardness around operative site
  • Excessive draining or bleeding from surgical site
  • Inability to urinate
  • Inability to have a bowel movement
  • Swelling of the calf, ankle or foot
  • Increased warmth of the leg
  • Pain in the leg
  • Bluish discoloration of the skin or leg

Postoperative follow up

You will need a follow-up appointment to monitor your progress in 2 to 3 weeks post operatively. You will be called for a postoperative follow up 1 to 2 days after surgery. You can make your postoperative appointment at that time or by calling and speaking to a receptionist.