How is minimally invasive sling surgery performed in men with incontinence?

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Anthony L. Komaroff, MD
Internal Medicine
For men, minimally invasive sling surgery (also called bulbourethral sling surgery, or by brand names such as AdVance and InVance) is relatively simple and usually does not require an overnight hospital stay. During the half-hour procedure, which is performed under spinal or general anesthesia, the surgeon makes an incision between the scrotum and rectum and attaches the sling to anchors or screws inserted into each side of the pelvic bone.

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