Urol. praxi. 2025;26(4):201-203 | DOI: 10.36290/uro.2025.087
Artificial sphincters in managing severe incontinence in men
- Urologické oddělení, Úrazová nemocnice v Brně
The article deals with the management of severe urinary incontinence in men when conservative approaches fail to work. It focuses on implantation of an artificial urethral sphincter as one of the most effective options that, despite its invasive nature, results in significant improvement in the quality of life of patients. The text discusses the main causes of incontinence, such as those linked to prostate surgery, and explains how both traditional and modern types of sphincters work. Also included is an overview of contraindications and possible complications associated with sphincter implantation. The aim of the article is to highlight the need for a careful selection of a suitable patient for this type of treatment.
Keywords: severe incontinence, artificial urethral sphincter, contraindications and complications of sphincter implantation.
Accepted: November 24, 2025; Published: December 16, 2025 Show citation
References
- Abrams P, Cardozo L, Wagg A, Wein A. Incontinence: 6th International Consultation on Incontinence. Tokyo: International Continence Society; 2017.
- Van der Aa F, Drake MJ, Kasyan GR, et al. The artificial urinary sphincter after 40 years: a review of its current use and outcomes. EurUrol. 2013;63(4):681-689.
Go to original source... - Staerman F, Léon P, Gasnier F, et al. Surgical treatment of male stress urinary incontinence: a review of the literature and recommendations for clinical practice. Progrès en Urologie. 2021;31(1):17-28.
- Boston Scientific. AMS 800™ Artificial Urinary Sphincter - Instructions for Use and Clinical Overview [Internet]. Marlborough (MA): Boston Scientific; c2023 [cited 2025 Aug 25]. Available from:
- Promedon. Victo & Victo+ Artificial Urinary Sphincter Systems [Internet]. Córdoba: Promedon; c2025 [cited 2025 Aug 25]. Available from: https://www.promedon.com.
- Rigicon. ContiClassic™ and ContiReflex™ Artificial Urinary Sphincters - Product Brochure [Internet]. Ronkonkoma (NY): Rigicon; c2025 [cited 2025 Aug 25]. Available from: https://www.rigicon.com.
- Zephyr Surgical Implants. ZSI 375 Artificial Urinary Sphincter - Product Description and Clinical Use [Internet]. Geneva: Zephyr Surgical Implants; c2025 [cited 2025 Aug 25]. Available from: https://www.zephyrsurgicalimplants.com.