Abstract
Male urinary incontinence in the result of prostate operation presents a long-term socio-economic problem with the impact on male psyche and the quality of his life. In 32 patients with II and III degree stress incontinence (16 after trans-urethral prostatectomy, 11 after radical prostatectomy, 4 after transvesical prostatectomy, 1 after spinal injury) we made a bulbourethral sling operation by proleň tape.
Special tape of proleň is transperineally placed under the bulbar urether by means of steel hooked needle. The needle entry is laterally from bulbar urether and m. bulbospongiosus, it passes through the diaphragma urogenitale (m. transversus perinei profundus) to the retropubic space and along the posterior symphysis to the abdominal wall.
Panendoscopic and urodynamic examination were made before the operation, the urodynamic examination and ascending and urination urethrocystography were made subsequently, 6 months after the operation. The average monitoring time was 23 months (2-48)