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Bladder
ARTIFICIAL URINARY SPHINCTER
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Invasive procedure
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Indicated for Moderate/Severe SUI
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Requires surgery to adjust
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Active Therapy
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Difficult to explant
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High Revision Rate
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1-1.5-hour long procedure
PROACT
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Minimally Invasive procedure
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Indicated for all severities of SUI (Mild, Moderate, Severe)
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Adjustable in office
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Passive Therapy
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Easily explanted
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Comparable revision rate
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20-30-minute procedure
MALE SLING
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Invasive procedure
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Indicated for Mild/Moderate SUI
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Passive Therapy
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Very difficult to explant
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1+ hour procedure
DEVICE INFORMATION:
ProACT Balloon: Each device consists of one silicone balloon connected with tubing to a self-sealing titanium port that is used for adding and subtracting volume to the balloon. Each implantation requires two balloons: one on each side of the bladder neck.
Implantation Set: Consists of the u-channel sheath that is used to deliver the balloon to the bladder neck, a sharp trocar, and a syringe.
Blunt Trocar: A blunt-tipped trocar that is interchanged with the sharp-tipped trocar after the pelvic floor has been passed.
TED II: The tissue expanding device is used to assist in the creation of space in order to place the balloon in the proper A/P position.
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