By then I’ve finished urinating, or if I haven’t, I do it again.
An artificial sphincter is a surgically implanted device with three major components.
I think you have to find a doctor who will give you the right information.
The hurt for me was not necessarily that I developed incontinence.
My wife and I were looking for a cure, and all of the information we were getting was that, given my set of circumstances, surgery was best. And all the information I was getting was, “Get this thing out of you.” Another factor was that I was young enough that people were saying, “Look, you’ve got a long life to live.
So then it was a question of who was going to perform the surgery. If you were in your 70s, it might be a different story.” They all explained that I might develop impotence or incontinence afterward.
Christopher Miller* is a real estate agent who is married and has two sons. Miller struggled for almost two years to overcome persistent urinary incontinence. We’d been married 32 years at that point, and I worried about what impact this would have on her.
After a great deal of research and consultations with five doctors, Mr. Although he considers the operation a success, in that it has apparently eradicated the cancer, Mr.
Here was a man who was a radiation oncologist, who was saying, “Maybe you should have surgery.” So even though I had talked to other people, I think that was really the convincing moment.An inflatable cuff surrounds the urethra; when inflated, it prevents urine from leaking out of the bladder (see A). If we want to go that route, which is very helpful in terms of creating more firmness, it means taking a pill and planning ahead. For me, the biggest change is that dealing with all of this enabled my wife and me to readdress our sexual life.A pressure regulation balloon implanted in the lower abdomen ensures that the cuff remains inflated until it is time to urinate. I can walk around, exercise, do everything I normally do, and I don’t feel it. There are times when I can have intercourse without the aid of any chemical. And I think, as a man, you sort of think it’s all about being hard and being up, and I think what has happened is that I’m now able to focus more on the other person, which I might not have been doing as well prior to this operation.But as time went on, nothing was getting any better. In a typical visit, I waited a half hour or an hour to see him for literally five minutes, and then he moved on to the next person. I had no problem at night, and I think for most people that’s the case.But when I got up, I was going through anywhere from four to five pads a day.One reason that I finally chose the surgeon I did was because the complication rates he quoted were lower than the others’.He really believed that there was less than a 1% chance that I’d have an incontinence issue, and a 30% chance of impotence. I mean, here were all the big guns in town, and his numbers seemed like the best. And the feedback was, “He’s got great hands.” We knew that his bedside manner left a lot to be desired, but I thought, “Who needs bedside manner?There is information that is available, but it’s not real. Men are often reluctant to mention the problem to their doctors or, as in Mr.Miller’s case, find that their doctors don’t ask about it.When I feel the need to urinate, I go to the toilet, and I squeeze the pump in my scrotum with one hand.By pressing the pump, I deflate this cuff, and the pressure comes off the urethra. Then probably 35 to 40 seconds later, the balloon fills back up.