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Managing stress urinary incontinence (SUI) effectively requires the right tools and the knowledge to use them. For men who have undergone prostate surgery and now face SUI, the ContiClassic® Artificial Urinary Sphincter (AUS) offers a reliable, implantable solution. But like any precision device, proper operation is key.
In this guide, we’ll walk you through the activation and deactivation process of your ContiClassic® AUS, providing helpful visual markers and expert tips for daily management. Whether you’re newly implanted or seeking a refresher, you’re in the right place.
What is the ContiClassic® AUS?
The ContiClassic® Artificial Urinary Sphincter is a surgically implanted device designed to restore urinary control in men suffering from stress urinary incontinence, especially after prostate surgery. It features:
- A control pump – For manual operation.
- An occlusive cuff – That compresses the urethra.
- A pressure-regulating balloon – For maintaining system pressure.
Patients use the pump located in the scrotum to activate or deactivate the device. Here’s how to do it.
Deactivating the ContiClassic® AUS
Deactivation is typically needed for activities like sleeping or urination training. Follow these steps:
1. Empty the Cuff
- Firmly press the lower, bulbous part of the pump 2–3 times.
- You will notice the cuff deflate, opening the urethra.
2. Allow Partial Refill
- Release the pump.
- Let it refill for ~30 seconds to allow pressure equalization.
3. Press the Deactivation Button
- Locate the round button on the upper part of the pump.
- Press it firmly and completely.
4. Confirm Deactivation
- Observe the small internal pin inside the pump.
- When locked in the bottom position, deactivation is successful.
5. Cuff Remains Open
- The urethral cuff remains deflated, and the device is now deactivated.
Activating the ContiClassic® AUS
Activation readies the cuff to regain urinary control by closing around the urethra.
1. Squeeze Pump Forcefully
- With a quick, firm squeeze, press the bulbous lower part of the pump.
- Avoid gentle presses—these won’t activate the device.
2. Confirm Activation
- The internal pin rises to the top when activation is successful.
3. Automatic Cuff Inflation
- The cuff inflates automatically within ~2.5 minutes.
- No further action needed.
Why Activation/Deactivation Matters
Deactivating your AUS during sleep or certain activities helps prevent constant urethral compression, which may reduce the risk of urethral atrophy or erosion. Activation ensures continence when it’s most needed—during the day or when you’re active.
“Proper activation and deactivation of your ContiClassic® device is crucial for both its longevity and your urethral health.”
Backed by Clinical Guidelines
According to the EAU Guidelines on Urinary Incontinence and the AUA/SUFU Guidelines, the artificial urinary sphincter is considered the gold standard for managing moderate-to-severe male SUI, particularly after prostate surgery.
Surgical candidates are assessed for:
- Manual dexterity – To operate the pump
- Cognitive capacity – To understand device use
- Health factors – Lack of active infection or untreated urethral stricture
Once implanted, correct use of the device, including timely activation and deactivation, is essential for long-term success and reduced revision rates.
Tips from the Experts
- Practice with professionals – Work with your surgeon or urology nurse before going home.
- Monitor for issues – If you notice unusual resistance, delayed inflation, or persistent leakage, notify your urologist.
- Regular follow-ups – Help monitor device function and urethral health.
Final Thoughts
The ContiClassic® Artificial Urinary Sphincter offers effective management of stress urinary incontinence when used correctly. Remember these key points:
This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your urologist or other qualified healthcare provider with any questions regarding a medical condition or the use of a medical device. ContiClassic® is a registered trademark of its respective owner. The use of such marks does not imply any affiliation with or endorsement by them.
