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Medical Procedures
For some individuals, surgery may be the most appropriate method of treatment. There are risks associated with surgical procedures that should be discussed with your doctor before a course of action is chosen.
If the bladder cannot be emptied because of a blockage in the urethra, surgery will probably be necessary to remove the obstacle. For example, an enlarged prostate gland may pinch the urethra closed because the urethra runs through the prostate. In these cases the doctor may perform a Transurethral Resection of the Prostate (TURP). A resectoscope is inserted into the penis and then the tissues causing the blockage are shaved away.
If the prostate itself has become too large or cancer is present, the doctor may remove the prostate and some of the surrounding tissue. Incontinence that results from prostate surgery often goes away on its own with time, but additional surgical procedures may be required. See Prostate Disorders and Incontinence.
An artificial sphincter can be surgically inserted to cure stress or total incontinence by sealing the sphincter during urine storage.
Periurethral injections may be used for men or women experiencing stress or total incontinence. A substance is injected into the area surrounding the urethra to help close off the urethra and prevent leakage.
For women experiencing stress incontinence, there are several procedures that can be performed to move the urethra into a better position. An artificial sphincter can be inserted for stress or total incontinence in those cases where the sphincter does not create a tight enough seal to prevent leakage.
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