Artificial Sphincter for Urinary Incontinence in Men
An artificial sphincter is a device made of
silicone rubber that is used to treat
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. The balloon is surgically placed within the pelvic area,
and the control pump is placed in the scrotum.
If you have urinary incontinence or if your incontinence problem seems to be getting worse, take stock of your medicine cabinet. Commonly used drugs could be the cause of your incontinence, or at least be a contributing factor.
If you suspect medications may be worsening urinary leakage or even causing it, let your doctor know about all the medicines you take, both prescription and over-the-counter. That way, your doctor can help determine whether these medicines should be adjusted or stopped, or...
The cuff is
inflated to keep urine from leaking. When urination is desired, the cuff is
deflated, allowing urine to drain out.
What To Expect After Surgery
Because these procedures involve
abdominal surgery, hospitalization is required.
You will most
likely be able to leave the hospital the day after having the surgery.
Why It Is Done
Installation of an artificial
sphincter may be done for:
Urinary incontinence caused by the removal of
Severe continual leakage of urine from the
Severe urinary incontinence for which other methods of
treatment have failed.
How Well It Works
Artificial sphincter placement is a
successful treatment for up to 9 out of 10 men who have incontinence after
prostate removal. And more than 9 out of 10 men are happy with the artificial
Complications with this type of surgery include
needing another surgery, or revision. After 10 years, about 6 out of 10 men
need to have another surgery.1 Other risks include
bruising and swelling after the surgery and infection.
What To Think About
Because complications may occur,
this is a treatment method that generally is reserved for people for whom all
other treatment options have failed. Some people may prefer to manage their
symptoms with continence products (such as absorbent pads, incontinence clamps,
or pressure cuffs) and changes in habits rather than to have this surgery.
Staskin DR, Comiter CV (2007). Surgical treatment of
male sphincteric urinary incontinence: The male perineal sling and artificial
urinary sphincter. In AJ Wein et al., eds., Campbell-Walsh Urology, 9th ed., vol. 3, pp. 2391-2403. Philadelphia: Saunders
Primary Medical Reviewer
E. Gregory Thompson, MD - Internal Medicine
Specialist Medical Reviewer
Avery L. Seifert, MD - Urology
July 8, 2010
WebMD Medical Reference from Healthwise
July 08, 2010
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