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Urology

Urological Conditions

Incontinence–Treatment Options

Surgery

Surgery is normally only used to treat incontinence when other options have failed. Several surgical procedures are possible, depending upon the cause and severity of the incontinence. Surgical treatments include:

  • Sacral Nerve Stimulator Implant
    Much like a pacemaker, a sacral nerve stimulator provides electrical stimulation to the sacral nerve, which controls bladder contractions. Likewise, much like a pacemaker, this device is implanted under the skin, usually near the tailbone or in the abdomen, in a minor surgical procedure. A wire runs from the device to the nerve, and mild electrical pulses are sent along the wire to stimulate the nerve, control urination and prevent incontinence. This exciting new technology has proven very beneficial.
  • Surgery for Prolapsed Bladder
    In women, the bladder can drop down toward the vagina, especially after childbirth, causing stress incontinence. Surgical techniques to correct prolapsed bladder are effective in reducing or eliminating incontinence.
  • Surgery for Enlarged Prostate
    Surgical procedures used to treat benign prostatic hyperplasia (BPH), also called erectile dysfunction, will eliminate incontinence.
  • Artificial Sphincter
    This is a doughnut-shaped sac that circles the urethra, and is surgically implanted. A fluid fills and expands the sac, which squeezes the urethra closed. To deflate the sac, you press a valve implanted under your skin. Deflating the sac removes the pressure from the urethra, allowing you to urinate.

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