For physcians

ProACT Therapy offers an effective treatment option for post-prostatectomy incontinence as an alternative to implantation of an artificial urinary sphincter (AUS) or sling. Median time to regain continence after radical prostatectomy is three months. If a patient still leaks after 12 months, consider ProACT therapy.1,2,3

Benefits of ProACT therapy include:

  • Minimally invasive

  • Outpatient Hospital or Ambulatory Surgery Center implant procedure

  • Silicone balloon offers long-term durable prosthetic implant

  • Non-surgical, post-operative adjustability via subcutaneous port

  • No fixation sutures or anchors required

  • Can be removed in an office setting

 
ProACT Balloons, Adjustable Treatment for Urinary Incontinence
 

The ProACT device consists of two adjustable balloon implants placed via perineal approach bilaterally in a periurethral position at the bladder neck or at the apex of the prostatic remnant. The implant procedure is minimally invasive and may be performed with general or local anesthesia.

Titanium ports attached via tubing to each balloon are placed in the scrotum, allowing for transcutaneous, post-operative volume adjustment. Increasing the balloon volumes will increase coaptation of the urethra and lift the bladder neck, to improve continence. Adjustments can continue to be made to best meet the needs of the patient.

 
Anatomical Position of ProACT, Adjustable Treatment for Urinary Incontinence
 

ProACT is available in two sizes (12 cm and 14 cm) to fit the individual needs of your patients.

Uromedica has developed a set of reusable dedicated implant tools. The set consists of a U-channel sheath, blunt and sharp-tipped trocars, and a tissue expanding device (TED II).

IMPORTANT SAFETY INFORMATION ABOUT PROACT

The potential risks with the ProACT implant procedure are similar to those for other surgical treatments for stress urinary incontinence. If an infection occurs at the implant site, it can be treated with antibiotics. If a more serious side effect occurs (e.g., perforation, migration, erosion), ProACT can be completely removed in an office setting with minimal risk to the patient using a topical anesthetic and small incision.

Comprehensive safety information can be found in the ProACT Instructions for Use.

1. Utomo E,Groen J,Vroom IH,Mastrigt RV,Blok BFM Urodynamic Effects of Volume-adjustable Balloons for Treatment of Postprostatectomy Urinary IncontinenceUrology. 2013 ;DOI 10.1016/j.urology.2013.01.020 (Epub ahead of print)

2. Kjaer,L, Fode,M, Norgaard N, Sonksen J and Nordling J Adjustable continence balloons: Clinical results of a new minimally invasive treatment for male urinary incontinence.Scandinavian J of Urology and Nephrology , 2012;1-5 (DOI:10.3109/00365599.2012.660986)

3. Roupret M, Vincent M, Pierre-Nicolas G, Stephane B, Florence C, Emmanuel CK Management of Stress Urinary Incontinence Following Prostate Surgery With Minimally Invasive Adjustable Continence balloon Implants:Functional Results from a Single Center prospective study. J.Urol ,2011 July;Vol 186, 198-203 DOI:10.1016/j.juro.2011.03.016.