Surgical technique and tools for use in treatment of male...

A - Human Necessities – 61 – B

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A61B 17/04 (2006.01) A61F 2/00 (2006.01) A61B 17/00 (2006.01) A61B 17/06 (2006.01)

Patent

CA 2677386

A transobturator technique was developed for treating male urinary incontinence. This approach helped to design specific instruments to pass around the ischio-pubic branches of the male pelvis from inside to outside (i.e from the suburethral space to the thigh fold). The inside-out transobturator sling technique uses specific instruments and a polypropylene mesh with two arms that are passed inside to outside through the obturator foramens, pulled for compressing the bulbar urethra upward, and tied to each other across the midline. The mesh passes around the ischio-pubic branch before being tied under the bulbar urethra where it brings tension and support.

La présente invention concerne une technique de transobturateur mise au point pour traiter l'incontinence urinaire masculine. Cette approche a permis de concevoir des instruments spécifiques capables de contourner les branches ischio-pubiennes du bassin d'un homme, de l'intérieur vers l'extérieur (c'est-à-dire depuis l'espace sous-urétral jusqu'au pli de la cuisse). La technique de fronde du transobturateur de l'intérieur vers l'extérieur utilise des instruments spécifiques et un filet en polypropylène, avec deux bras qui sont passés de l'intérieur vers l'extérieur à travers les foramens de l'obturateur, tirés afin de comprimer l'urètre bulbaire vers le haut, et noués l'un à l'autre en travers de la ligne médiane. Le filet est passé autour de la branche ischio-pubienne avant d'être noué sous l'urètre bulbaire, où il fournit tension et soutien.

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