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TAKE BLADDER LEAKAGE QUIZ

Take this simple quiz to understand
the severity of your bladder leakage symptoms,
taking ~2 minutes to complete.
Bladder leakge
✅ Rest assured, no personal information like your name
is needed to view your bladder leakage assessment results,
and the system will generate a random ID for you.
GET YOUR SCORE

TAKE BLADDER LEAKAGE QUIZ

Take this simple quiz to understand
the severity of your bladder leakage symptoms,
taking ~2 minutes to complete.
Bladder leakge
✅ Rest assured, no personal information like your name
is needed to view your bladder leakage assessment results,
and the system will generate a random ID for you.
GET YOUR SCORE

Rigicon® Conti® Artificial Urinary Sphincter

How to use your ContiClassic® Artificial Urinary Sphincter?

How to use your ContiReflex® Artificial Urinary Sphincter?

Types of Artificial Urinary Sphincters

ContiClassic®

ContiClassic®

Artificial Urinary Sphincter

ContiClassic® Artificial Urinary Sphincter is used to treat urinary incontinence due to intrinsic sphincter deficiency in cases such as incontinence following prostate surgery.1

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ContiReflex®

ContiReflex®

Enhanced Artificial Urinary Sphincter

ContiReflex® Enhanced Artificial Urinary Sphincter‘s smart “Reflex Balloon” senses changes in intraabdominal pressure (IAP) and, in response, modifies the pressure on the urethra in response to this change in IAP.

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Types of Artificial Urinary Sphincters

In the table below, you will find a comparison between two types of artificial urinary sphincters:

  • – ContiClassic® Artificial Urinary Sphincter
  • – ContiReflex® Enhanced Artificial Urinary Sphincter
Features ContiClassic® ContiReflex®
Pressure Regulating Balloon Classic Smart Reflex
Hydrophilic coating for reduced infection risk Yes Yes
Rigicon Duality Yes Yes
Control Pump Yes Yes
Reservoir Yes Yes
Free consultation* Yes Yes
  • *You can get free information about all artificial urinary sphincters from our patient consultants 24/7.

Before and After Surgery

You will be asked to visit the clinic of your choice to be checked for your eligibility for the artificial urinary sphincter surgery. It is our duty to guide you through this important process.
Initial Call

Initial Call

You will be called by experts to understand the severity of the condition

Verify Your Eligibility

Verify Your Eligibility

You will be asked to visit the clinic in order to be checked for your eligibility of the artificial urinary sphincter surgery

Decide On Date

Decide On Date

Date of your surgery will be decided upon your arrival

Surgery<br> Time

Surgery Time

Your physician will take good care of you

Post<br> Surgical Care

Post Surgical Care

Your condition after the surgery will be evaluated by your physician

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FAQ
What is urinary incontinence?
Stress urinary incontinence, or “SUI” for short in English, is when urine leaks out. This occurs when suddenly the pressure is put on the bladder and urethra. This pressure causes the sphincter muscles to open briefly. When these muscles open, urine leaks out. In the cases of mild stress urinary incontinence, pressure may be due to sudden forceful activities, such as doing exercise, sneezing, laugh or coughing. In the most serious cases SUI, escape occurs during less forceful activities, such as getting up, walking, or bending over. The accidents” urinals of this type, maybe just a few drops of urine or enough to wet clothes.
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Types of incontinence

Urinary incontinence is a problem related to
loss of urine control. There are two main types:
• Stress urinary incontinence (SUI): When a small or moderate amount of
urine leaks out of control. This occurs by
coughing, sneezing, or laughing.
• Urge urinary incontinence (UUI) or overactive bladder (OAB). ): A sudden and uncontrollable urge to urinate.
Leakage is moderate to significant.

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What are the causes of urinary incontinence?

Among the most common risk factors for incontinence
urinary stress are:
• pregnancy and giving birth
• injury to the nerves of the lower back
• smoking (causing coughing)
• cough for life
• being overweight.

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What are the symptoms of urinary incontinence?

The main symptom of stress is urinary incontinence
when urine leaks during any activity that
puts pressure on the abdomen. These “accidents” of leaking urine may be just a few drops or enough
to wet clothes. 

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Treatment options urinary incontinence

Sometimes conservative or pharmacological treatments do not improve your urinary incontinence. In these cases, other treatment options are available. Together with your doctor, you can decide which approach is best for you and the expected benefits and side effects that you can expect with every one of the different options.

 Surgical treatment options for urgency urinary incontinence are:

  • Botulinum toxin bladder injection: injection in your bladder wall is a substance that avoids involuntary contraction of your bladder.
  • Nerve stimulation (neuromodulation): electrical pulses to stimulate the sacral nerves, which control the bladder behavior.
  • Surgery to increase bladder volume. This represents the last choice, only when all other treatments have failed, which is rarely performed nowadays. If this surgery is recommended, you will need to discuss its implications and side effects with your doctor because they can be significant.

Surgical treatment options for stress urinary incontinence:

  • Suburethral slings: sling placed under your urethra.
  • Bulking agents: a substance injected into your urethra to increase its resistance.
  • External compression devices: devices that compress your urethra to avoid leakage.

Second-line treatment for urgency urinary incontinence

Sometimes self-management or the drugs your doctor prescribed do not improve your urgency urinary incontinence (UUI). In these cases, other treatment options are available. With your doctor, you can decide which approach is best for you.

Standard second-line treatment options for UUI are:

  • Botulinum toxin bladder injection
  • Nerve stimulation, also known as neuromodulation
  • Surgery to increase bladder volume

Bladder surgery

If your symptoms have not improved with drugs or other treatments, you may need surgery on your bladder. The goal of the procedure is to increase the capacity of the bladder. This will reduce the pressure in the bladder as it fills to hold more urine.

The doctor makes an incision in your lower abdomen and uses a piece of your bowel to increase the size of the bladder. This procedure is called bladder augmentation or cystoplasty and is rarely performed nowadays (Fig. 3). If this surgery is recommended, you will need to discuss its implications and side effects with your doctor because they can be significant.

bladder augmentation surgery

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Surgical treatment for men with SUI

If you suffer from stress urinary incontinence (SUI), your doctor will examine and advise you of your treatment options.

Men at risk of developing urinary incontinence, such as those whose prostate has been removed (partially or entirely). Since the prostate surrounds the urethra, helping it resist the pressure of a full bladder, its removal can decrease the amount of pressure the urethra can resist, leading to urinary leakage.

There are options to improve or cure your condition. All procedures aim to make your continent. How this is done varies. Together with your doctor, you can decide which approach is best for you, based on:

  • Your age
  • Your general state of health
  • The severity of your urinary incontinence
  • How bothersome your symptoms are

This section offers general information and situations which can vary in different countries.

 
Surgical treatment Description Recommended for
Standard
Artificial urinary sphincter (AUS) External compression of the urethra* with the help of a hand-controlled pump Men with moderate to severe urinary leakage of a particular type
Sling implantation A kind of band is used to compress the urethra Men with mild to moderate urinary leakage of a particular type
Adjustable slings A type of band used to compress the urethra can be adjusted later if needed. Men with mild to moderate urinary leakage of a particular type
Special situation
Bulking agents A substance that is injected into the wall of the urethra to improve closure.  Men with mild urinary leakage of a particular type, which are not eligible for major surgery, only expect a short-term benefit or want to postpone standard surgical treatment.

*The urethra is a tube that allows the passage of urine from the bladder.

Artificial Urinary Sphincter (AUS) implantation

Artificial urinary sphincter (AUS) implantation is the standard treatment for moderate to severe stress urinary incontinence.

The AUS allows you to control your bladder with a hand-operated pump to compress and release a cuff around the urethra. The AUS consists of:

  • An inflatable cuff placed around the urethra
  • A reservoir to store liquid and keep the pressure in the system and placed into the belly
  • A valve or pump to control the cuff and placed into the scrotum

The goal of the AUS is to reduce urine leakage during activities such as sneezing, coughing, running, or lifting weights.

The AUS can have complications, such as mechanical failure or infection, which implies its removal.

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