Artificial Sphincter Surgery for Urinary Incontinence

male artificial sphincter

Drawing of  a male artificial sphincter to control urination.

Everyone has a pelvic floor: it is a hammock of muscles that lies in your pelvis, supporting the organs (bowel, bladder, and – in women – the uterus) in that area and keeping them in the correct place. In your pelvic floor are a few muscles that are called “sphincters”. There is an internal and external sphincter surrounding the urethra (the tube that takes urine from the bladder out of your body). These urinary sphincters naturally contract around the urethra and keep urine inside your body until you relax the sphincters at a socially-acceptable time (generally when you’re using a toilet). As the urge to urinate increases, you can voluntarily increase the contraction of your sphincters to gain more control.Continue reading

Artificial Sphincter Surgery for Bowel Incontinence

external sphincter muscle squeezing

This shows the external sphincter muscle properly squeezing and keeping fecal matter inside until he proper time.

Everyone has a pelvic floor: it is a hammock of muscles that lies in your pelvis, supporting your internal organs in that area (bowel, bladder, and – in women – the uterus) and keeping them in the correct place. In your pelvic floor are a few muscles that are called “sphincters”.  There is an internal and external sphincter surrounding the anus. These anal sphincter muscles naturally contract around the rectum and keep the fecal matter inside your body until you relax the sphincters at a socially-acceptable time (generally when you’re using a toilet).  As the urge to defecate increases, you can contract (or squeeze) your sphincters to gain more control.  When you cannot control these sphincter muscles, bowel incontinence (also called accidental bowel leakage or fecal incontinence) may happen.

Surgery to implant an artificial sphincter involves placing an inflatable sphincter around the anus. A pump (placed inside the body in the labia or scrotum) is used to deflate the device, allowing fecal matter to pass through at the appropriate time. The device automatically refills after ten minutes, once again closing off the rectum.Continue reading