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An artificial sphincter consists of three parts:
- A cuff that fits around the bladder neck
- A pressure regulating balloon
- A pump that inflates the cuff
To treat urinary incontinence, the cuff is placed around the bladder neck so that when it is inflated, the urethra will close tightly. The pressure regulating balloon will be placed under the tissues of the lower abdomen. The balloon is filled with a liquid (occasionally, an iodine-based solution will be used so that it will be visualized when x-ray procedures are performed).
The control pump mechanism is placed in the labia for women, and in the scrotum for men. To use the sphincter, the person will compress (squeeze) the pump to divert fluid from the urethral cuff to the balloon. This action will allow the sphincter to relax so that the person can urinate. The cuff will then re-inflate on its own in 1 to 2 minutes.
Review Date 5/15/2020
Updated by: Sovrin M. Shah, MD, Assistant Professor, Department of Urology, The Icahn School of Medicine at Mount Sinai, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.