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Simple in design and practical in its application, the ProACT™ system is an alternative surgical treatment option to consider for all severities of stress urinary incontinence. Below are key device elements of ProACT. We encourage you to browse through the contents of this page to get more in-depth information on all things ProACT. If you’re looking to speak directly with a Uromedica Representative, click on the button below to send us a message. A Uromedica representative will respond in a timely manner.


  • Adjustable to an individual patient’s needs

  • Minimally invasive procedure

  • Passive Therapy

  • Indicated for all severities of SUI (mild, moderate, and severe)

  • Can be implanted if patient has a failed AUS or Sling

Currently, we offer two training options for physicians to get trained on the ProACT procedure.


Our field representatives are eager to assist in working with you to get you to a training that fits your schedule.

To discuss training options or how to bring ProACT to your facility, click the “Talk to our team” button above to get in touch with a Uromedica Representative. 




There are over 40 publications on the ProACT system. The following are some of the most recent and up-to-date publications available.

Klock J, Palacios A, Leslie S, Feloney M. Artificial Urinary Sphincters and Adjustable Dual-
Balloon Continence Therapy in Men. [Updated 2023 Nov 2]. In: StatPearls [Internet]. Treasure
Island (FL): StatPearls Publishing; 2023 Jan-.

Kong L, Coddington N, Flynn B. Secondary placement of adjustable continence therapy
(ProACT™) using open perineal technique: Case report of ProACT placement in a man with a
devastated urethra following pelvic trauma and multiple AUS erosion. Urology Case Reports 49
(2023) 102424.

Tricard T, Qi-Xiang S, et. al. Adjustable Continence Therapy (ProACT) for treatment of male
SUI PP -Systematic review and meta-analysis (2023 Update). World J Urol 41, 1793–1802

Ricard H, Léon G, Branchereau J, et al. Adjustable continence balloons in postprostatectomy
incontinence: Outcomes and complications. Neurourol Urodyn. 2022;1‐9. doi:10.1002/nau.24967

Bada M, Crocetto F, Barone B, et al. ProACT in the management of stress urinary
incontinence after radical prostatectomy. What happens after 8 years of follow up? Monocentric
analysis in 42 patients. J Basic Clin Physiol Pharmacol 2022;

M. Ruggiero, U. Pinar, M.-B. Popelin et al., Single centre experience and long-term outcomes of
implantable devices ACT and Pro-ACT (Uromedica, Irvin, CA, USA) Adjustable continence
Therapy for treatment of stress urinary incontinence. Prog Urol,


Munier P, Nicolas M, Tricard T, et al. What if artificial urinary sphincter is not possible?  Feasibility and effectiveness of ProACT for patients with persistent stress urinary incontinence after radical prostatectomy treated by sling.  Neurourol. Urodyn. 06 April 2020:1-6. doi:10.1002/nau.24355..

Noordhoff TC, Finazzi-Agrò E, Scheepe JR, Blok BFM. Outcome and complications of adjustable continence therapy (ProACTTM) in the treatment of urinary incontinence after transurethral resection of the prostate: A multicenter study. Neurourol Urodyn. 2019 Apr;38(4):1111-1119. doi: 10.1002/nau.23966.

Larson T, Jhaveri H, Yeung LL. Adjustable continence therapy (ProACT) for the treatment of male stress urinary incontinence: A systematic review and metaanalysis. Neurourology and Urodynamics. 2019; 38(8):2051-2059. doi: 10.1002/nau.2413.

Finazzi Agrò E, Gregori A, Bianchi D, et al. Efficacy and safety of adjustable balloons (Proact™) to treat male stress urinary incontinence after prostate surgery: Medium and long‐term follow‐up data of a national multicentric retrospective study. Neurourol Urodyn. 2019 Sep;38(7):1979-1984. doi: 10.1002/nau.24103.

Nash S, Aboseif S, Gilling P, Gretzer M, Samowitz H, Rose M, Slutsky J, Siegel S, Tu LM. Four-year follow-up on 68 patients with a new post-operatively adjustable long-term implant for post-prostatectomy stress incontinence: ProACT™. Neurourol Urodyn. 2019; 38(1): 248-253. doi: 10.1002/nau.23838.


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