The AUS-800 represents
the most effective cure for PPI. Over 90% of patients report satisfactory
urinary control following implantation and a similar percentage of patients report
that they would both undergo the procedure again and would recommend implantation
to a friend suffering similar difficulties. The AUS-800 can be implanted in
under 1 hour through a single small incision in the scrotum which heals with a nearly
imperceptible scar. There are no externalized components and to the casual
observer, as in a public shower or restroom facility, it is completely unnoticeable.
Artificial Urinary Sphincter
The AMS-800 is a
device known as the artificial urinary sphincter. This device is placed completely
inside the patient's body to provide simple, discreet urinary control. The patient
controls urination simply by squeezing a small pump.
The AMS-800 has proven to be effective in treating urinary incontinence and is considered
the gold standard by most urologists. With this device, most patients remain dry
with only minor leaks or dribbles of urine, usually during strenuous exercise or
exertion. As with any medical procedure, the AMS-800 is not 100% effective in all
patients. Some patients may require additional protection.
AdVance Trans-obturator Male Sling for Urinary Incontinence
The AdVance™ Male Sling
System from AMS is an innovative, safe and effective procedure for men suffering
from mild stress urinary incontinence. AdVance is a minimally invasive outpatient
surgery that can restore bladder control the day it is performed.
While moderate to severe cases of incontinence in men have been treated surgically
for years, the majority of incontinent men — those only mildly incontinent — have
had few attractive medical options until now.
Worldwide, 55 million men suffer from incontinence; 5 million men in the United States. AdVance
is a treatment for mild stress urinary incontinence (SUI), a condition in which
urine is leaked during physical activity like lifting, exercising, sneezing and
coughing. Most are prostate cancer survivors, having undergone surgery for the treatment
of their cancer with the often unavoidable outcome of a damaged urinary sphincter.
With the advent of the AdVance male sling system, doctors are now able to offer
a viable spectrum of incontinence solutions.
AdVance gives physicians the opportunity to provide real incontinence solutions
to even more prostate cancer survivors.
With the AdVance procedure, a small "sling" made of synthetic mesh is placed inside
the body through small incisions. The sling supports the urethra, restoring normal
bladder control. Most patients are continent immediately following the procedure
and can resume normal, non-strenuous activities shortly thereafter.
Post-Prostatectomy Urinary Incontinence FAQs
The normal amount of time between voiding will depend on
a number of factors but primarily fluid intake. Normally, with average fluid intake,
approximately 8 voids per day are considered to be within the normal range.
There are two sphincter muscles that keep men continent
before radical prostatectomy (RP), the internal urethral sphincter and the external urethral
sphincter. The internal sphincter is not under your control and is found at the bottom of the
bladder, called the "bladder neck," and in the prostate. This is removed during your surgery
because the prostate cannot be taken out without removing this sphincter. You control your
external sphincter, which is the muscle you can use to stop your urine stream and the one
you can strengthen with pelvic floor muscle (Kegel) exercises. Normally, a healthy external
sphincter is sufficient to provide continence. However, after RP, there can be some damage
or dysfunction of the external sphincter, which can prevent you from recovering your bladder
control. This may be due to damage to the nerves, blood supply, supporting structures, or
the muscle itself as the external sphincter is located at the apex of the prostate gland.
There are two main types of urinary incontinence in men
after radical protatectomy:
- Urgency incontinence
- Stress urinary incontinence
Urgency incontinence is when you feel the "urge" to urinate but cannot make it to the toilet
in time. This is generally due to bladder spasms and often responds to medical therapy.
This type of incontinence is thought to be mostly due to changes in the way the bladder
behaves after surgery.
Stress urinary incontinence (SUI), is leakage of urine with exertion or effort and can happen
when you cough, sneeze, lift something heavy, change position, swing a golf club or exercise.
This type of incontinence may be because of damage to your external sphincter muscle as
described above. Almost all men will have some degree of SUI immediately after catheter
removal, and you were probably given instructions on how to perform pelvic floor exercises
to improve urinary control.
No, most men see a quick improvement in continence over
the first several months after the catheter is removed, but incontinence can remain
troublesome in some men 1 year after surgery. Most surgeons will consider a man continent if
they do not regularly use incontinence pads and only have occasional dribbling with lots of
activity. Most importantly, however, is how bothersome your urinary incontinence is to you,
as our goal is to improve your quality of life as much as possible.