TRANSOBTURATOR METHODS FOR INSTALLING SLING TO TREAT INCONTINENCE, AND RELATED DEVICES

摘要

Described are methods of treating urinary incontinence using a urinary sling and a tissue path that passes through the obturator foramen, along with related surgical implants, devices, systems, and kits.

主权项

1. A method of treating urinary incontinence in a male patient, the method comprising:
providing an elongate implantable sling comprising a central support portion and two opposed elongate end portions, the implant being sized and shaped such that the end portions are capable of extending between a patient's left and right obturator foramen with the central support portion placed at a location below the patient's urethra, wherein the central support portion has a width greater than a width of the end portions, creating a medial incision at the perineum, exposing bulbospongiosus muscle, dissecting bulbospongiosus muscle to expose corpus spongiosum, placing the central support portion to contact the corpus spongiosum, and extending the end portions internally, one end portion to each of the left and right obturator foramen; and placing tension on the end portions to reposition pelvic tissue and approximate the urethra in a direction toward the patient's bladder to improve continence.