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ProAct

Procedures

ProAct

ProACT Therapy

ProACT™ Adjustable Continence Therapy is a minimally invasive surgical treatment for men with stress incontinence caused by radical prostatectomy or transurethral resection of the prostate.

Procedure Overview

The procedure to implant the ProACT balloons takes approximately 30 minutes. Once implanted, the device can be adjusted to the patient’s specific needs during follow-up office visits. After the implant, urination occurs normally without the need for manual manipulation.

ProACT Balloons

Each ProACT implant consists of medical-grade silicone balloons connected by tubing to a titanium filling port. The balloons are placed on either side of the bladder neck, and the port is positioned under the skin of the scrotum for easy access by a urologist during follow-up adjustments. The port is about the size of a No. 2 pencil eraser and is discreetly placed, making it unnoticeable to others.

How Does ProACT Therapy Work?

The prostate supports the bladder by controlling urine flow through two valves. After prostate surgery, these valves may be damaged or removed, leading to stress incontinence. The ProACT balloons are implanted where the prostate was to restore the support it once provided. The balloons apply pressure to the bladder outlet, helping keep it closed during physical activities.

Adjustability of ProACT Therapy

The ProACT system is adjustable. After four to six weeks post-implantation, a urologist can adjust the balloon size at follow-up visits. During these visits, a small needle is used to access the port and modify the balloon size. Most patients experience optimal results after about three to four adjustments.

Advantages of ProACT Therapy

  • Easily adjustable to meet individual continence needs.
  • Natural urination without the need for a pump activation or deactivation.
  • Minimally invasive procedure with only two small incisions.
  • Long-term treatment option for incontinence.

Covered by Medicare.

Potential Risks

As with any medical procedure, there are potential risks, including:

  • Injury to the bladder or urethra during implantation.
  • Device displacement.
  • Tissue damage caused by the device.
  • Risk of infection.

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