To Avoid Incontinence After A Prostate Surgery

To Avoid Incontinence After A Prostate Surgery

To Avoid Incontinence After A Prostate Surgery

If urine dribbles only in men and they need to go to the toilet more often than usual, this is a warning signal. Behind it can be a common benign enlargement of the prostate – or cancer. It is the most common tumor disease in men, affecting almost 60,000 Germans every year.

After a necessary prostate surgery can lead to incontinence.


In most cases, the organ, also called prostate gland, is surgically removed. If the tumor has not spread yet, a cure is very likely. However, this procedure often injures nerves or the bladder sphincter, because they are close to the distant organ. About half of the patients subsequently suffer from bladder weakness (incontinence).


The doctors then advise those affected to pelvic floor gymnastics to strengthen the muscles responsible for it. But this does not always show the desired success. If the bladder function has not returned to normal after one year despite the therapy, the patient may be treated with an artificial sphincter as a last resort.


This consists of three parts: a cuff that is placed around the urethra and seals it. There is a pressure-regulating balloon under the abdominal wall, and a pump is implanted in the scrotum, which can be operated from the outside. If the patient wants to leave water, he activates the pump.


The fluid then flows from the cuff into the balloon, the urethra opens, urine can drain. Then the cuff is refilled. The implant heals six weeks after surgery and can then be activated.

In one study, 180 patients were interviewed at the Asklepios Clinic Hamburg-Harburg, to whom an artificial sphincter had been implanted. 94.7 percent were satisfied with this and said that their quality of life had increased as a result. 86 percent did not need more deposits or at most two a day. The procedure is offered by several specialized urology centers at German clinics. The costs are borne by the health insurance companies.