Stress Urinary Incontinence Treatment in Paducah, KY

Male Stress Urinary Incontinence (SUI)

It can be humiliating and uncomfortable when you leak urine. The good news is, if your leakage is frequent or becomes overwhelming, you have options.

What is stress urinary incontinence?

Incontinence is defined as any involuntary leakage of urine.1 Male stress urinary incontinence (SUI) is usually caused by a damaged or weakened sphincter and occurs when physical movement or activity — such as coughing, laughing, sneezing or heavy lifting — puts pressure or stress on a man’s bladder. The sphincter is the circular muscle that controls urine flow out of the bladder. When damaged, this muscle cannot squeeze and close off the urethra; the result is urine leakage.

What causes male SUI?

SUI is a common side effect of prostate cancer treatment, such as surgery (radical prostatectomy) or radiation. It can also be a symptom from enlarged prostate (BPH) surgery, pelvic trauma or a neurological condition such as spina bifida.3

What are my treatment options?

There is good news – most cases of stress urinary incontinence can be cured or improved.4 It may be recommended to make changes to your daily routine, such as avoiding caffeine and alcohol, limiting fluid intake and following a voiding schedule.5

Some men cope by using absorbent pads and protective undergarments. Others use special devices to try to prevent urine leakage such as penile clamps, and internal and external penile catheters. There are also long-term surgical treatment options including the AMS 800™ Urinary Control System and the AdVance™ XP Male Sling System.

AMS 800™ Urinary Control System

Considered the gold standard treatment for male SUI, the AMS 800 Urinary Control System provides proven, discreet bladder control.6 90% of patients reported satisfaction with the AMS 800.7
The AMS 800 System is a three-part urinary control system contained completely inside the body.8

  1. Control pump is implanted in the scrotum
  2. Inflatable cuff is placed around the urethra
  3. Saline-filled balloon (PRB) is usually implanted in a natural open space next to the bladder

How it works8

The AMS 800 System is filled with saline and uses the fluid to open and close the cuff surrounding the urethra. When you need to urinate, you squeeze and release the pump in the scrotum several times to remove fluid from the cuff. When the cuff is empty, urine can flow out of the bladder. The cuff automatically refills in a few minutes squeezing the urethra closed to restore bladder control.

Could an AMS 800 System be right for you?

  • Designed to treat male SUI following prostate surgery9
  • Mimics a healthy sphincter, allowing you to urinate when desired9
  • Offers most men with a weakened sphincter muscle the ability to achieve continence4
  • Placed entirely inside the body, it is undetectable to others9
  • Requires good cognitive ability and manual dexterity9

AdVance™ XP Male Sling System

The AdVance XP Male Sling is placed in the body and acts as a hammock, repositioning and supporting the urethra to help restore bladder control. Most patients (up to 89.4%) have long-term success with the AdVance XP Male Sling and are classified as cured or improved.10

How it works

The AdVance XP Sling is designed to stop leakage by supporting the sphincter muscle. The sling is a strip of soft mesh placed inside the body and is designed to move the sphincter back to its natural position to help restore bladder control. The AdVance XP Sling works on its own to restore continence, requiring no action by the patient to function.

Could an AdVance XP Male Sling be right for you?

  • Minimally invasive solution for male SUI
  • Placed entirely inside the body, it is undetectable to others12
  • High success achieved in patients with mild to moderate SUI10
  • Most patients are continent immediately following the procedure11
  • It operates on its own to restore continence11

Sources:
1. Chapple C, Milsom I. Urinary incontinence and pelvic prolapse epidemiology and pathophysiology. In: Wein AJ, Kavoussi LR, Novick AC, et al. (eds). Campbell-Walsh Urology. 10th ed. Philadelphia, PA: WB Saunders Elsevier; 2012:1871-95.
2. Markland AD, Goode PS, Redden DT, et al. Prevalence of urinary incontinence in men: results from the National Health and Nutrition Examination Survey. J Urol. 2010 Sep; 184(3):1022-7
3. Data on file with Boston Scientific and based on market research by Dymedex.
4. 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 Apr;63(4):681-9.
5. Sandhu, J. Treatment options for male stress urinary incontinence. Nat Rev Urol. 2010 Apr;7(4):222-8.
6. Montague DK. Artificial urinary sphincter: long-term results and patient satisfaction. Adv Urol. 2012;2012:835290.
7. Litwiller SE, Kim KB, Fone PD, et al. Post-prostatectomy incontinence and the artificial urinary sphincter: a long-term study of patient satisfaction and criteria for success. J Urol. 1996 Dec;156(6):1975-80.
8. AMS 800™ Urinary Control System Operating Room Manual. American Medical Systems, Inc. 2017.
9. AMS 800™ Urinary Control System Instructions for Use. American Medical Systems, Inc. 2017.
10. Bauer RM, Grabbert MT, Klehr B, et al. 36-month data for the AdVance XP® male sling: results of a prospective multicenter study. BJU Int. 2017 Apr;119(4):626-30.
11. Welk B, Herschorn, S. The male sling for post-prostatectomy urinary incontinence: a review of contemporary sling designs and outcomes. BJU Int. 2012 Feb;109(3):328-44.
12. AdVance™ XP Male Sling System Instructions for Use. Boston Scientific Corporation. 2018.

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Male Urinary Incontinence Treatment Options

The type of incontinence that you are diagnosed with will determine your treatment options.  Some options available are:

  • Behavioral modification
  • Medication
  • Surgery

Non-Surgical treatments

The type of incontinence that you experience will determine your non-surgical treatment options. No single incontinence treatment works for everyone. In some cases, treatment for one type of incontinence can actually worsen another. It’s a good idea to discuss all the options with your doctor.

Non-surgical treatment options include:

  • Absorbent products (pads)
  • Catheters;
    • Internal
    • External
    • Incontinence or penile clamps
  • Behavioural modification
    • Kegel exercises
    • Limiting liquids
    • Timed urination
  • Medication
    • Changing existing medications
    • New medication


If these options are not suitable for the type of incontinence you experience or your lifestyle, there are also minimally invasive surgical options to consider.

Surgical Treatments

Why choose a Surgical Treatment?

Choosing a surgical solution offers a possible permanent solution

Once an accurate diagnosis is made by your urologist, it may be determined that the best way to treat your incontinence is to have a bulbourethral sling implanted, such as the Virtue® Male Sling (Coloplast Corp.).

The Virtue® sling is made of a soft, flexible polypropylene mesh material, and is implanted to support and elevate the bulbous urethra. By applying a gentle compression, this helps to prevent urine leakage.

Typically, Virtue is inserted during an out-patient procedure. Individual recovery time may vary, but the average time is 4-6 weeks. During this time, heavy lifting should be avoided. Your physician will discuss your recovery plan in greater detail.

Virtue is a permanent solution. Once the sling is in place, you can enjoy the active lifestyle you had before, playing sports, dancing and just carrying in the groceries without fear of leaking.

Following the placement of a Virtue male sling, it is important to follow the instructions provided by your physician and on the document below to ensure the best outcomes. If you have any questions on the post procedure instructions, please contact your physician for clarification.

Important Safety Information
A male sling implant is concealed entirely within the body to address stress urinary incontinence (urine leakage) in men over the age of 18.

A sling implant is a surgical solution requiring a healing period that have risks associated with surgery such as pain, anaesthesia reactions, repeat surgery due to infection or reaction to implant material. Implant considerations may include your medical condition, lifestyle, personal preference and cost.

This treatment is prescribed by your physician. Although many patients may benefit from the use of this device, results may vary. Discuss treatment options with your physician to understand the risks and benefits of the various options to determine if sling implant is right for you.

The link between Incontinence and ED
Prostate Cancer does not create the problem; the treatments do. Many men who suffer from incontinence also have Erectile Dysfunction (ED), the consistent inability to sustain an erection sufficient for sexual intercourse.

Treatment options may affect continence and erections by impacting the nerves or blood flow. Such as:

Prostatectomy – radical, robotic, or nerve sparing:
During the procedure the nerve bundles or blood vessels may be damaged, affecting continence and/or erectile function.

Radiation therapy:
Over time, radiation therapy may damage blood vessels to the penis, preventing blood flow and affecting erectile function.

What is E.D.?
E.D. is the consistent inability to sustain an erection sufficient for sexual intercourse.

If you are experiencing E.D., speak to your urologist about permanent, drug-free treatment options, such as a penile implant.

Sources:
1. Chapple C, Milsom I. Urinary incontinence and pelvic prolapse epidemiology and pathophysiology. In: Wein AJ, Kavoussi LR, Novick AC, et al. (eds). Campbell-Walsh Urology. 10th ed. Philadelphia, PA: WB Saunders Elsevier; 2012:1871-95.
2. Markland AD, Goode PS, Redden DT, et al. Prevalence of urinary incontinence in men: results from the National Health and Nutrition Examination Survey. J Urol. 2010 Sep; 184(3):1022-7
3. Data on file with Boston Scientific and based on market research by Dymedex.
4. 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 Apr;63(4):681-9.
5. Sandhu, J. Treatment options for male stress urinary incontinence. Nat Rev Urol. 2010 Apr;7(4):222-8.
6. Montague DK. Artificial urinary sphincter: long-term results and patient satisfaction. Adv Urol. 2012;2012:835290.
7. Litwiller SE, Kim KB, Fone PD, et al. Post-prostatectomy incontinence and the artificial urinary sphincter: a long-term study of patient satisfaction and criteria for success. J Urol. 1996 Dec;156(6):1975-80.
8. AMS 800™ Urinary Control System Operating Room Manual. American Medical Systems, Inc. 2017.
9. AMS 800™ Urinary Control System Instructions for Use. American Medical Systems, Inc. 2017.
10. Bauer RM, Grabbert MT, Klehr B, et al. 36-month data for the AdVance XP® male sling: results of a prospective multicenter study. BJU Int. 2017 Apr;119(4):626-30.
11. Welk B, Herschorn, S. The male sling for post-prostatectomy urinary incontinence: a review of contemporary sling designs and outcomes. BJU Int. 2012 Feb;109(3):328-44.
12. AdVance™ XP Male Sling System Instructions for Use. Boston Scientific Corporation. 2018.

View important safety information Caution

U.S. Federal law restricts this device to sale by or on the order of a physician.
All images are the property of Boston Scientific. All trademarks are the property of their respective owners.
Fixincontinence.com is a website sponsored by Boston Scientific. ©2020 Boston Scientific Corporation. All rights reserved. MH-XXXXXX-AA XXX 2020

 

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