Urinary incontinence (UI), sometimes referred to as “lack of bladder control,” is the involuntary loss of urine. Patients suffering from UI cannot control urine release from the bladder. Urinary incontinence is estimated to affect 1 out of 10 males, with increasing prevalence associated with aging.
Eliminating overactive bladder muscles, weakened pelvic floor muscles, enlarged prostate, a disability or mobility, chronic illness, being overweight, and smoking.
This leaves only prostate cancer treatment and nerve damage.
Stress urinary incontinence is the unexpected leakage of urine when an outside pressure occurs with activities such as heavy lifting, coughing, sneezing, laughing, or exercise.
This outside pressure causes the already weakened bladder to leak urine.
The bladder is held in place by the muscles and connective tissue in the pelvis. When these muscles are weak, the outside pressure can push the bladder downward, causing the urethra to open and the urine to leak out.
A weak or damaged sphincter may also cause stress urinary incontinence.
It is true that, stress urinary incontinence (SUI) is a normal part of aging for females, but it takes an event like trauma or surgery to give a man stress urinary incontinence.
For diagnosis, your doctor will perform a physical examination and take your detailed medical history.
Depending on your medical history and physical examination findings, your doctor may require further testing.
One of the most common side effects of radical prostatectomy is stress urinary incontinence.
It is expected for post-radical prostatectomy SUI to be resolved within one year following surgery. In some cases, patients may continue to experience SUI without any improvement over time. If you are having issues with bladder control and it is an issue six months after your procedure, you should see a specialized physician to seek medical advice and, if necessary, discuss your treatment options.
Remember that most stress urinary incontinence cases are treatable. Depending on the severity and the type of urinary incontinence, your doctor will decide on the best treatment option.
Commonly there are two treatment options:
1) Conservative treatment (e.g., medicines, special exercises)
2) Surgical treatment (e.g., Enhanced Artificial Urinary Sphincter)
Enhanced Artificial Urinary Sphincter (AUS) is a medical device to treat stress urinary incontinence. Enhanced Artificial Urinary Sphincter is a surgical treatment option when non-surgical or behavioral treatment options fail.
Enhanced Artificial Urinary Sphincter placement is regarded as the “gold standard” in the surgical treatment of SUI.
A specialized physician (i.e., a urologist) will surgically place the artificial urinary sphincter in the body. Enhanced Artificial Urinary Sphincter will mimic the role of a healthy urinary sphincter (the two muscles controlling the exit of urine from the bladder through the urethra). The Artificial Urinary Sphincter will close the urethra preventing urine leakage. The patient will squeeze a pump in his scrotum to release the cuff over the urethra and void. The cuff will return to its closed state. The Enhanced ContiReflex® smart “Reflex Balloon” senses IAP; changes and modifies occlusive cuff pressure in real time. Cuff pressure is responsive to IAP changes and is no longer limited by the PRB’s labeled pressure capacity.
ContiReflex® Pump is easily manipulated, deactivated, and activated.
ContiReflex® Smart PRB adapts occlusive cuff pressure in a real-time manner.
ContiReflex® has a safe implantation via a single-incision penoscrotal approach.
ContiReflex® Enhanced Artificial Urinary Sphincter has more comprehensive occlusive cuff size options. This will enable your surgeon to choose the occlusive cuff that fits best with your urethral anatomy.
In some cases, double-cuff placement might be preferred. EasyClick™ Y-Connector will enable a double-cuff configuration of the device.
ContiReflex® Enhanced Artificial Urinary Sphincter incorporates a hydrophilic coating on all device surfaces. This hydrophilic coating will allow your surgeon to choose the aqueous solution she will dip into the device before implantation.
It is expected that a full recovery from artificial urinary sphincter implantation could take up to 6 weeks. Please keep in mind that every patient will have a different timeline for recovery. Your physician will manage your post-op care. You need to follow your physician’s suggestions for a speedy recovery. Your implanted Artificial Urinary Sphincter will be activated by your physician in your follow-up appointment, which is generally scheduled for four to six weeks after implantation.
All components of the artificial urinary sphincter are concealed in your body and can not be noticed from the outside. Others will not know that you have an artificial urinary sphincter implanted unless you choose to disclose it.
Aside from stress urinary incontinence, erectile dysfunction is another common side effect of radical prostatectomy surgery. If you are experiencing SUI and erectile dysfunction, consult a specialized physician. An artificial Urinary Sphincter can be used simultaneously with Inflatable Penile Prosthesis (e.g., Infla10 Three-Piece Inflatable Penile Prosthesis).
1 Rigicon® ContiReflex® Enhanced Artificial Urinary Sphincter Instructions for Use.
2 Boysen, William, et al. “Combined Placement of Artificial Urinary Sphincter and Inflatable Penile Prosthesis Does Not Increase Risk of Perioperative Complications or Impact Long-term Device Survival.” Urology vol. 124 (2019): 264-270.