Urinary incontinence refers to the loss of bladder control. It is really common and the severity ranges from occasionally leaking to an urge that is so sudden that you don’t even get a chance to reach the toilet.
This is usually caused by the muscles and nerves that help the bladder flow or hold urine. In certain cases, like pregnancy, menopause, and childbirth, this condition is more common.
This is more common in women and elderly people.
• Stress incontinence
• Urge incontinence
• Mixed incontinence
• Overflow incontinence
• Functional incontinence
• Reflex incontinence
The male sling procedure helps men with urinary incontinence (loss of bladder control). In the procedure, synthetic mesh-like tape is placed around the urethral bulb, compressing and moving the urethra into a new position. This treatment helps many men overcome urinary incontinence issues
• A URODYNAMIC STUDY (testing to assess urinary tract function)
• A 24-hour pad test (to identify the number of pads used and amount of liquid leaked)
• A CYSTOSCOPY (a look inside your bladder)
During the male sling procedure, an incision is made through the perineal tissue (the area between the scrotum and anus). The surgeon will then expose the urethra and use a supportive sling (a mesh-like surgical tape) around part of the urethral bulb that covers the most upper part of the urethra close to where it enters the area of the urethral sphincter. By wrapping the surgical tape around the urethral bulb, the sling gently moves the urethra into a new position and increases resistance in this area. This lends support to the bladder neck.
The male sling procedure is not a major surgery. One of the advantages is that the male sling procedure only requires a small incision in the perineum (between the scrotum base and the anus). Because of this small incision, the recovery time is fairly short. Most patients have their catheters stay in for one to three days depending on surgeon preference.
• Inability to urinate (retention of urine) – This is the most common problem after surgery, and may require catheter reinsertion for another week or two. In very rare cases, a second surgical procedure may be needed to resolve this issue.
• Bleeding and infection (especially of the mesh or the bone area and pubic bone)—This is a rare complication.
• Erosion—This is a rare complication.
• Recurrent leakage of urine
An artificial urinary sphincter is an implanted device to treat moderate to severe stress urinary incontinence, most commonly in men. The AUS is designed to supplement the function of the natural urinary sphincter that restricts urine flow out of the bladder.
Nearly 200,000 patients have had an AUS system inserted. Urination occurs when muscles in the bladder tighten to facilitate the flow of urine out of the body through the urethra.
An artificial sphincter has an inflatable cuff that fits around the urethra close to the point where it joins the bladder. A balloon regulates the pressure of the cuff, and a bulb controls inflation and deflation of the cuff.
Artificial urinary sphincters (AUS) usually last seven to 10 years—some more than 20 years. However, your device will eventually need to be replaced. When an AUS fails, additional surgery will be needed to replace the device (similar to the original surgery).
Dr. Sandeep Harkar – (MBBS, MS In Surgery And Diplomate Of National Board (DNB), Urology/Genito - Urinary Surgery), is one of the Top Urologist in Gurgaon. He began his medical career at Govt Medical College ,Jammu where he successfully completed his MBBS medical degree in first class. He pursued his post graduation (M.S) in the field of General Surgery from the same institution.
Dr Harkar moved to the prestigious MAMC College & associated Lok Nayak Hospital at New Delhi where he worked as Senior resident under the mentorship of the stalwarts of General surgery.
His passion for Urology attained fulfilment when he joined the prestigious Army Hospital (R&R) New Delhi, which is the premier institute of armed forces, for Urology training. During his training, Dr Harkar collaborated closely with the senior team at Army Hospital (R&R) and performed or assisted in nearly all major open/ endoscopic and Laparoscopic surgeries. He also got indepth exposure to Kidney transplant training at Army Hospital (R&R). He was awarded the Diplomate of National Board ( DNB) by the National Board of Examinations after successful completion of training.
He is presently working as Senior Consultant in Department of Urology, Robotics and Renal Transplant, Artemis Hospital Gurgaon
pl labroo2024-02-04Doctor Sandeep Harkar is one of the best Urologist. He hears his patient carefully, advises best possible treatment to the problem. I had one severe problem which he treated with his knowledge, experience and IQ through a successful surgery. God bless the Doctor with good health and happiness 🙏
Rajni Chrungoo2024-02-04Dr. Sandeep Harkar is a good doctor as well as a very good person. He helped my husband with removal of his long time stones - approx 2cm and 2.5cm. He was very cordial till the very last day we were released from the hospital. Was very patient and explained things very clearly as well. God bless him!
Ashok Malhotra2024-01-19I was operated by Dr Harkar for enlarged Prostate successfully.He is an expert in the field and one of the finest doctor you can always count on.God bless him.
Nakul Sharma2024-01-19Dr Sandeep Harker is one of the best Urologist in Gurgaon. I really appreciate the patience and excellence with which he treate me when i suffering large kidney stones from long time. Thank u sir. Always stay bless Dr Harker
Yashpal raghav2024-01-08Thank you sir
Vikas Booni2024-01-06Dr. Sandeep Harkar is one of the best urologists in Gurgaon. I really appreciate the patience and excellence with which he treated my father.
Ankur Sharma2023-12-19I m so happy with dr. Sandeep harkar he is a good Dr.
barinder sharma2023-09-19Excellent doctor and excellent service in hospital