Surgery Overview

An artificial sphincter is a device made of
silicone rubber that is used to treat
urinary incontinence.

An artificial
sphincter has an inflatable cuff that fits around the
urethra close to the point where it joins the bladder.
A balloon regulates the pressure of the cuff, and a bulb controls inflation and
deflation of the cuff. The balloon is surgically placed within the pelvic area,
and the control pump is placed in the scrotum.

The cuff is
inflated to keep urine from leaking. When urination is desired, the cuff is
deflated, allowing urine to drain out.

What To Expect After Surgery

Because these procedures involve
abdominal surgery, hospitalization is required.

You will most
likely be able to leave the hospital the day after having the surgery.

Why It Is Done

Installation of an artificial
sphincter may be done for:

  • Urinary incontinence caused by the removal of
    the prostate.
  • Severe continual leakage of urine from the
    urethra.
  • Severe urinary incontinence for which other methods of
    treatment have failed.

How Well It Works

Artificial sphincter placement is a
successful treatment for up to 90 out of 100 men who have incontinence after
prostate removal. And most men are happy with the artificial
sphincter.footnote 1

Risks

Complications with this type of surgery include:

  • An infection in the artificial sphincter.
  • Wearing away (erosion) of the skin of the urethra.
  • Failure of the artificial sphincter to work.

Men with these problems usually need to have another surgery (revision). This happens in about 23 out of 100 men who have the surgery.footnote 1

What To Think About

Because complications may occur,
this is a treatment method that generally is reserved for people for whom all
other treatment options have failed. Some people may prefer to manage their
symptoms with continence products (such as absorbent pads, incontinence clamps,
or pressure cuffs) and changes in habits rather than to have this surgery.

Complete the surgery information form (PDF) (What is a PDF document?) to help you prepare for this surgery.

References

Citations

  1. Wessells H, Peterson AC (2012). Surgical treatment of male sphincteric urinary incontinence: The male perineal sling and artificial urinary sphincter. In AJ Wein et al., eds., Campbell-Walsh Urology, 10th ed., vol. 3, pp. 2290-2305. Philadelphia: Saunders.

Credits

ByHealthwise Staff
Primary Medical Reviewer E. Gregory Thompson, MD – Internal Medicine
Specialist Medical Reviewer Christopher G. Wood, MD, FACS – Urology, Oncology

Current as ofMay 5, 2017