Urinary incontinence and its long term solutions

Urinary Incontinence

Long term treatments for urinary incontinence


What you should know about long term solutions for incontinence

There are different solutions for incontinence beyond oral medications or pelvic floor exercises.1,5
Talking to a urologist about options like these could help you reclaim your quality of life.1–3


Artificial Sphincter

A 3 part urinary control system

A 3-part urinary control system12

  • The pump is implanted in the scrotum
  • The inflatable cuff fits around the urethra
  • A balloon reservoir is implanted in the abdomen
Artificial Spincter Animated Illustration

How it works12

The cuff fits around the urethra, inflates and keeps it closed, thereby keeping urine in the bladder. To begin urinating, the pump in the scrotum is squeezed several times. Doing so deflates the cuff, opens the urethra and allows urine to exit the body.

Learn more about the artificial sphincter and how it works
patients suffering from incontinence solutions recommend artificial sphincter to others

Benefits of an artificial sphincter

  • Designed to treat male stress urinary incontinence (SUI) following prostate surgery15
  • Mimics a healthy sphincter, allowing you to urinate when desired15
  • Offers most men with a weakened sphincter muscle the ability to achieve continence16
  • Placed entirely inside the body, it is undetectable to others
  • Requires good cognitive ability and manual dexterity15


Possible side effects include, but are not limited to: 11,15

  • Pain/discomfort and inflammation
  • Bleeding and irritation at the wound site
  • Urethra and/or surrounding tissue damage
  • Healing delays 
  • Recurrent urine leakage 

 

Find a Urologist
Mr. Richard Hocart worked with a urologist to decide on a urinary sphincter as his advanced long term solution

Mr. Richard Hocart worked with a urologist to decide on a urinary sphincter as his long term solution.*

“My wife and I were laughing and crying after I successfully activated the sphincter for the first time and we realised that it really worked and that I was going to be dry again. I felt a real physical weight lift from my shoulders. The feeling of relief was so intense I actually had to look to see what was happening.”*
 
 

Person/s providing the testimonial was not compensated for their time.
The following testimonials recount the experiences that are specific to the individuals. As with all medical treatment, not every result is the same. We recommend you talk to your doctor or urologist about which treatment is right for you.

An advanced Male Sling System

An advanced male sling - Incontinence solutions

An invisible, internal sling system

The sling, made of synthetic mesh, is placed entirely inside the body, making it undetectable to others. Most patients are continent immediately following the procedure.7 At their urologist’s discretion, most patients can resume normal daily activities 6 weeks later.8
In a study of 42 patients, 94.4% people would recommend male sling to their friends

Benefits of an advanced male sling:

  • Minimally invasive procedure10
  • Placed entirely inside the body, it is undetectable to others
  • High success achieved in patients with mild to moderate SUI10
  • Most patients are continent following the procedure7
  • It operates on its own to restore continence7

 

Possible side effects include, but are not limited to:11

  • Pain and inflammation
  • Bleeding and irritation at wound site
  • Urethral or tissue damage
  • Urinary retention
Bill worked with a urologist to decide on a male sling as his advanced and long term solution.

Bill worked with a urologist to decide on a male sling as
his long term solution.

“The day of my surgery I was actually excited. I was expecting to walk out of there and not have to wear pads and [gain] some sense of normalcy with my life. And that’s exactly what happened.”*
 
 

Person/s providing testimonial may have been compensated for their time.
The following testimonials recount the experiences that are specific to the individuals. As with all medical treatment, not every result is the same. We recommend you talk to your doctor or urologist about which treatment is right for you.

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*Content of this video is for Information Purposes only and does not constitute medical advice. Boston Scientific strongly recommends that you consult with your physician on all matters pertaining to your health or to address any questions.

Results from case studies are not necessarily predictive of results in other cases. Results in other cases may vary.  All images are the property of Boston Scientific. All trademarks are the property of their respective owners.

DISCLAIMER: Individual symptoms, situations, circumstances and results may vary. This information and the quiz are meant for information purposes only, it is not intended to be used for medical diagnosis or treatment or as a substitute for professional medical advice. Please consult your doctor or qualified healthcare provider regarding your condition and appropriate medical treatment. This video is meant for informational purposes only and may not be indicative of actual size or clinical outcome. The opinions, procedures and patient care policies expressed or depicted in this video are those of the physician and do not necessarily reflect the opinions, policies or recommendations of Boston Scientific Corporation or any of its employees. For further information and detailed instructions regarding the use of the Boston Scientific products featured in this video, please refer to the directions for use included within the Boston Scientific product package.
This site is intended for Australian residents only. Please review the Boston Scientific Privacy Policy, for practices on the collection, storage, use and disclosure of your personal information.

CAUTION: Indications, contraindications, warnings and instructions for use can be found in the product labelling supplied with each device.

 

References

  1. Ostrowski I. Slediz E. Ciechan J. et al. Current interventional management of male stress urinary incontinence following urological procedures. Cent European J Urol. 2015;68:340–347.
  2. Rehder P. Haab F. Cornu J-N. et al. Treatment of postprostatectomy male urinary incontinence with the transobturator retroluminal repositioning sling suspension: 3-year follow-up. Eur Urol. 2012;62(1):140–145.  
  3. Viers BR, Linder BJ, Rivera ME, Rangel LJ, Ziegelmann MJ, Elliott DS. Long-Term Quality of Life and Functional Outcomes among Primary and Secondary Artificial Urinary Sphincter Implantations in Men with Stress Urinary Incontinence. J Urol. 2016;  196 (3): 838-43.  
  4. Riemsma R, Hagen S, Kirschner-Hermanns R, Norton C, Wijk H, Andersson KE, Chapple C, Spinks J, Wagg A, Hutt E, Misso K, Deshpande S, Kleijnen J, Milsom I. Can incontinence be cured? A systematic review of cure rates. BMC Med. 2017;  15 (1): 63.   
  5. Cordon BH. Singla N. Singla AK. Artificial urinary sphincters for male stress urinary incontinence: current perspectives. Med Devices (Auckl). 2016; 9:175–183.  
  6. Comiter CV. Dobberfuhl AD. The artificial urinary sphincter and male sling for postprostatectomy incontinence: which patient should get which procedure? Investig Clin Urol. 2016;57:3–13.  
  7. Welk BK. Herschorn S. The male sling for post-prostatectomy urinary incontinence: a review of contemporary sling designs and outcomes. Br J Utol Int. 2011;109:328–344.  
  8. AdVance™ Male Sling System Instructions for Use. American Medical Systems, Inc. 2010.  
  9. Suskind AM. Bernstein B. Murphy-Setzko M. Patient-perceived outcomes of the AdVance sling up to 40 months post procedure. Neurourol Urodyn. 2011;30(7):1267–1270.  
  10. Bauer R. Mayer ME. May F. et al. Complications of the AdVance transobturator male sling in the treatment of male stress urinary incontinence. Urology 2010;75:1494–1498.  
  11. DeRidder D, Webster G. Clinical overview of the AdVance male sling in post-prostatectomy incontinence. Eur Urol (Suppl). 2011;10:401–406. 
  12. AMS 800™ Urinary Control System Operating Room Manual. American Medical Systems, Inc. 2011.  
  13. AMS 800™ Urinary Control System Instructions for Use. American Medical Systems, Inc. 2011. 
  14. Van der Aa F. Drake MJ. Kasyan GR. et al. The artificial urinary sphincter after a quarter of a century: a critical, systematic review of its use in male non-neurogenic incontinence. Eur Urol. 2013;63(4):681–689.  
  15. AMS 800™ Urinary Control System Instructions for Use. American Medical Systems, Inc. 2017. 
  16. Poole K, Kerlin M, Wynne R. Prevalence and characteristics of urinary incontinence in a cohort of patients with chronic heart failure. Heart Lung. 2017;  46 (2): 67-73. https://www.heartandlung.org/article/S0147-9563(16)30224-2/fulltext. 
  17. Harris SS. Link CL. Tennstedt SL. et al. Care seeking and treatment for urinary incontinence in a diverse population. J Urol. 2007;177:680–684. 
  18. Jarvis TR, Chughtai B, Kaplan SA. Testosterone and benign prostatic hyperplasia.Asian J Androl. 2015;17(2):212-6.