The artificial urinary sphincter has been available since 1973 for men who experience prolonged bladder incontinence following treatment for prostate cancer.
This device typically consists of a cuff, a pump, and a
balloon. It is surgically implanted.
How it works:
When a man is ready to urinate, he squeezes the pump, which is implanted into his scrotum. This:
In some ways, it is similar to the way a blood pressure cuff works, except this cuff automatically refills with the saline fluid several minutes after it is deflated.
Results are mixed
While clinical studies have reported ten-year success rates with the device, many men have had to undergo additional surgery because the device:
In one study (Fulford et al) of 61 men, after 10 years, 49 men needed at least one further surgery to correct a problem. In another study of 70 men (Clemens et al), about half needed additional surgery five years after receiving their artificial urinary sphincter.
In a third study of 113 men (Montague et al), a large majority of men (60%) were “socially continent” about six years after getting an artificial urinary sphincter, which means they used up to 1 pad a day. It was also reported that:
Of all the men in this same study, here's what they had to say about their satisfaction with the device:
Artificial urinary sphincter: not for everyone
This surgical approach is generally considered when other therapies (including the male sling procedure) have failed.
Like any surgery, it carries risks and potential complications, including:
It also requires good manual dexterity, as the man must operate the scrotal pump to urinate. Before deciding on this approach, ask your doctor about all the benefits and associated risks.Back to coping with incontinence
Atiemo HO, Moy L, Vasavada S, Rackley R. Evaluating and managing urinary incontinence after prostatectomy: beyond pads and diapers. Cleveland Clinical Journal of Medicine. 2007;74 (1):57-63.
Clemens JQ, Schuster TG, Konnak JW, McGuire EJ, Faerber GJ. Revision rate after artificial urinary sphincter implantation for incontinence after radical prostatectomy: actuarial analysis. J Urol. 2001;166:1372-1375.
Fulford SC, Sutton C, Bates G, Hickling M, Stephenson TP. The fate of the ‘modern’ artificial sphincter with a follow-up of more than 10 years. Br J Urol. 1997;79:713-716.
Montague DK, Angermeier KW, Paolone DR. Long-term continence and patient satisfaction after artificial sphincter implantation for urinary incontinence after prostatectomy. J Urol. 2001;166:547-549.
Always consult a medical professional.