Stress Urinary Incontinence (SUI) is the involuntary loss of urine due to stress or strain on the bladder. Such leakage most often occurs with activities such as laughing, coughing, or sneezing.
The most common cause of stress incontinence is prostate cancer treatment. Surgery and/or radiation for prostate cancer can affect the external urethral sphincter muscle, which is a circular muscle that controls urine flow out of the bladder. If this muscle cannot fully squeeze and close the urethra when stress is delivered to the bladder, the result is urinary leakage.
In order to pinpoint the direct cause of your urinary incontinence, a physician will need to review a medical history, perform a physical exam, and possibly perform specialized testing called Urodynamics. However, a history and physical exam are often enough to confirm that you are suffering from stress incontinence.
There are two main treatment options for male stress urinary incontinence:
AMS 800TM Artificial Urinary Sphincter
The Artificial Urinary Sphincter is the only device designed to closely imitate the functions of the biological external urethral sphincter by providing resistance to the bladder outlet and preventing involuntary urine flow. It is generally used for men with moderate to severe urinary incontinence. An artificial urinary sphincter is a completely internal implant composed of three components: urethral cuff, pump, and pressure-regulating balloon.
- The Urethral Cuff is placed around the urethra to help control urine flow. By default, the cuff is filled with fluid. This closes the urethra, allowing little to no urine to pass through the urethra during normal activities.
- The Pump is hidden in the scrotum. When this button is pressed, fluid is transferred from the cuff to the pressure-regulating balloon. The cuff is then open allowing the bladder to empty in the normal fashion.
- The Pressure-Regulating Balloon is hidden behind the pubic bone. It is precisely engineered to slowly refill the cuff with fluid after voiding, so the cuff returns to its original “closed” state.
Implantation of the artificial urinary sphincter involved surgery under general anesthesia with a one-night hospital stay. Approximately 4-6 weeks after surgery, your doctor will activate the device in clinic and teach you how to cycle the device.
AdVanceTM Male Sling
The male sling is designed for men with mild to moderate urinary leakage following prostate removal. The male sling stops urinary leakage by acting as a hammock and gently repositioning the urethra and supporting the external urethral sphincter muscle.
Like the artificial sphincter, the sling is completely internal. However, there is no requirement to press a pump before urinating. Also, patients are generally dry when they leave the hospital the morning after surgery.
You do not have to live with stress urinary incontinence. The decision on which surgical option best fits your needs is solely up to you and your doctor.
If you think you may be experiencing symptoms of Male Stress Urinary Incontinence, contact one of our locations today for more information! Click here to contact one of our locations.