Implantable devices for the treatment of incontinence and methods of using same
Implantable devices are designed to provide support to the bulbar urethral region of a patient experiencing incontinence. Surgical methods are utilized to implant the devices, and surgical tools are utilized with the surgical methods.
1. A method of treating urinary incontinence in a male patient, the method comprising:
making a perineal incision and dissecting tissue to expose a bulbar urethral complex of the male patient;
passing a tip of a first introducer posterior to a first pubic ramus starting from the perineal incision and moving the tip outside-in, medially, and through a first obturator membrane extending over a first obturator foramen of the male patient;
attaching a first arm of an implant to the tip of the first introducer and pulling the tip of the first introducer back through the first obturator foramen;
passing a tip of a second introducer posterior to a second pubic ramus starting from the perineal incision and moving the tip of the second introducer outside-in, medially, and through a second obturator membrane extending over a second obturator foramen of the male patient;
attaching a second arm of the implant to the tip of the second introducer and pulling the tip of the second introducer back through the second obturator foramen;
making first and second abdominal incisions above a pubic symphysis of the male patient;
passing a tip of a third introducer through the first abdominal incision and through the perineal incision;
attaching a first leg of the implant to the tip of the third introducer and pulling the tip of the third introducer back through the first abdominal incision;
passing the tip of the third introducer through the second abdominal incision and through the perineal incision;
attaching a second leg of the implant to the tip of the third introducer and pulling the tip of the third introducer back through the second abdominal incision; and
placing a body member that is connected to the arms and the legs of the implant against the bulbar urethral complex of the male patient.
2. The method of claim 1 , wherein making a perineal incision comprises making a vertical perineal incision in a midline of the male patient and dissecting laterally to expose periutheral fat above the bulbar urethral complex of the male patient and leaving periutheral tissue intact.
3. The method of claim 1 , further comprising:
pulling the first and the second legs of the implant over, superiorly, a pubic symphysis of the male patient.
4. The method of claim 1 , further comprising:
securing the first and the second legs of the implant inside a body of the male patient.
5. The method of claim 4 , wherein securing the first and the second legs of the implant inside the body of the male patient comprises passing the first and the second legs of the implant under skin of the male patient and anchoring the first and the second legs subcutaneously.