Adjustable Continence Devices

Adjustable periurethral continence devices (e.g., ProACT — Adjustable Continence Therapy) consist of two fluid-filled balloons implanted adjacent to the bladder neck that provide compressive urethral resistance, with ports allowing postoperative volume adjustment via percutaneous injection. The ability to titrate resistance without device replacement is a key advantage over fixed-cuff devices, particularly in irradiated patients whose urethral compliance changes over time.

Indications

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Technique Overview

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Key Steps

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Outcomes & Evidence

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References

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