Male Stress Urinary Incontinence
Stress urinary incontinence is leakage of urine that occurs with activities that increase pressure on your bladder such as coughing, sneezing, exercising. In men this most often occurs after prostate surgery.
Treatment:
1. Pelvic Floor Physical Therapy: Men can learn how to do kegel exercises either at home by themselves or with the help of a certified pelvic floor physical therapist
2. Penile clamps/cuffs can be worn when doing activities to help limit leakage
The Male Sling is a soft mesh that is placed inside the body underneath the urethra, or pee tube. It stops leakage by supporting the urethra and moving the sphincter back to its normal position to help stop bladder leakage. The procedure takes approximately 1 hour in the operating room and you are sent home the same day. You will need a catheter for at least 24 hours after the procedure.
The artificial sphincter is made up of 3 pieces. It includes a cuff that surrounds the urethra or pee tube. It is attached to a pump placed to one side of the scrotum and a small reservoir placed in the lower part of the belly. The cuff is always filled with fluid. When you need to urinate, you push the cuff in the scrotum, and fluid flows out of the cuff for at least 40 seconds to allow you to pee. It then automatically refills to close the urethra and stops urine from leaking from the bladder. This surgery is done in the operating room and takes approximately 2 hours. You are sent home with a catheter for 24 hours which we can teach you to remove the following day. It remains deactivated (turned off) for 6 weeks to allow for healing before you can use it.
