bandage-green

Male Incontinence Surgery (Artificial Urinary Sphincter / Male Sling)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lithotomy, arms tucked, Low lithotomy for the perineal exposure; legs come down and the table returns toward supine for the balloon incision.
Time : 2-4 hours (long)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : No
Blocks : Pudendal, Ilioinguinal/Iliohypogastric
Considerations : PONV, Anticoagulation / Antiplatelet Therapy, Prolonged Lithotomy / Well-Leg Compartment

Anesthetic Approaches

1GETT, Nerve Block
2GLMA, Nerve Block
3Spinal, Propofol Drip
The Surgery

Note on naming - this is the MALE operation for post-prostatectomy stress incontinence. It is not the female mid-urethral sling, which is a transvaginal polypropylene tape placed for female stress...

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