✦ Male Incontinence Treatment

Male Sling (AdVance / Virtue)

Q: Who is the male sling best suited for?

The sling works best for men with mild-to-moderate incontinence, good residual sphincter function, no prior urethral radiotherapy, and who prefer a simpler device without a pump.

Q: What if the sling does not achieve dryness?

Men with insufficient response to a sling can proceed to AMS 800 implantation; sling presence does not preclude subsequent AUS surgery.

Q: Is radiotherapy a contraindication to male sling?

Prior urethral radiotherapy significantly increases sling failure rates; AMS 800 is strongly preferred in irradiated patients. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Minimally Invasive Male Urethral Sling for Mild-to-Moderate Incontinence

30–60 min PROCEDURE

Day Care / 1 Day HOSPITAL STAY

>80% (mild–mod) SUCCESS RATE

2–4 Weeks RECOVERY

What is Male Sling (AdVance / Virtue)?

The Male Urethral Sling (AdVance or Virtue sling) is a minimally invasive procedure for mild-to-moderate post-prostatectomy stress urinary incontinence. A synthetic mesh tape is placed through small perineal and inner thigh incisions to reposition and support the proximal urethra and membranous urethra, restoring the posterior urethral angle and improving sphincter coaptation. Unlike the AMS 800, the sling does not require a pump mechanism — continence is passive and immediate. The procedure is performed under general or spinal anaesthesia with a hospital stay of Day Care / 1 Day.

Men with mild-to-moderate post-prostatectomy incontinence (1–3 pads per day), intact sphincter function on urodynamics, and no prior urethral radiotherapy. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Perineal Incision

Perineal incision; bulbar urethra and perineal body dissected to identify the correct repositioning level.

Needle Passage

Helical needles passed through inner thighs to create obturator passage.

Mesh Positioning

Synthetic mesh tape threaded through and positioned beneath the bulbar urethra.

Tensioning

Tape tensioned to achieve posterior urethral repositioning confirmed by cystoscopy.

Wound Closure

Perineal wound closed; catheter placed overnight; discharged next morning.

Outcomes

30–60 minDURATION

Day Care / 1 DayHOSPITAL STAY

>80% (mild–mod)SUCCESS RATE

2–4 WeeksFULL RECOVERY

Who Needs This Treatment?

→Passive continence — no pump to learn or operate.
→Minimally invasive — small perineal and inner thigh incisions.
→Rapid recovery — most patients home next morning.
→80% success for mild-to-moderate incontinence in appropriately selected patients.
→No device activation waiting period — immediate continence effect.
→Revision to AMS 800 possible if sling achieves insufficient continence.

"The male sling is an elegant, pump-free solution for mild post-prostatectomy incontinence. For the right patient — mild leakage, good sphincter, no radiation — it provides passive continence with a quick recovery and high satisfaction."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

Who is the male sling best suited for?+

What if the sling does not achieve dryness?+

Is radiotherapy a contraindication to male sling?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

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