Manage Incontinence


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Managing Male Incontinence
Two million men in the United States experience loss of bladder control from disease or injury that results in involuntary urine leakage. Men who undergo surgery for prostate disease or prostate cancer or who have an enlarged prostate may experience urinary incontinence as a result of their condition. This development can be very troubling for men who wish to manage male incontinence or urinary leakage without embarrassing diapers or pads.

However, there is good news. The breakthrough ActiCuf ™ Compression Pouch provides a convenient and secure way to manage light to moderate male incontinence so you can return to an active lifestyle.

This website is designed to provide you with information about the ActiCuf Compression Pouch and about male incontinence, so you can learn more about possibilities to improve your life.

About the ActiCuf Compression Pouch for male incontinence
Male incontinence
Prostate cancer
Enlarged prostate (benign prostatic hyperplasia)
Please use this information for your own benefit or forward to your own physician. Educating yourself is an important step in making healthcare decisions.

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Manage Incontinence

  1. 1. Managing Incontinence
  2. 2. <ul><li>Anatomy & Physiology of Urinary System </li></ul><ul><li>Incontinence facts and statistics </li></ul><ul><li>Post-Prostatectomy Incontinence </li></ul><ul><li>Pelvic Muscle Re-Training </li></ul><ul><li>Treatment Options & Product Selection </li></ul><ul><li>ActiCuf Introduction </li></ul><ul><li>Questions </li></ul>Contents
  3. 3. Anatomy & Urinary System <ul><li>The ability to hold urine is dependent on having normal anatomy and a normally functioning urinary tract and nervous system. </li></ul><ul><li>The Prostate gland is an organ that surrounds the urinary urethra in men. </li></ul><ul><li>The urethra carries urine from the bladder, through the prostate gland to the penis. </li></ul>
  4. 4. Urinary Facts <ul><li>150-180 liters of fluid is processed by the kidneys daily </li></ul><ul><li>Adult Bladder capacity is between 300 and 600ml. Most people will urinate before this volume is reached. </li></ul><ul><li>Most people empty their bladders between 4 and 8 times a day </li></ul>
  5. 5. Incontinence Facts <ul><li>Incontinence is described as the involuntary loss of urine from the bladder </li></ul><ul><li>Over 30 Million Americans are affected by Incontinence, 85% are Women. </li></ul><ul><li>Approximately 30,000 new cases of male urinary incontinence a year from prostate surgeries alone. </li></ul>
  6. 6. Incontinence Facts <ul><li>Incontinence is a symptom, not a disease </li></ul><ul><li>Incontinence is not a normal part of the aging process </li></ul><ul><li>Types of Incontinence: </li></ul><ul><ul><ul><li>Stress – Involuntary loss of small amounts of urine due to increased intra-abdominal pressure </li></ul></ul></ul><ul><ul><ul><li>Urge – Involuntary loss of Urine with a strong sense of urgency </li></ul></ul></ul><ul><ul><ul><li>Mixed – Combination of Urge and Stress common in older women </li></ul></ul></ul><ul><ul><ul><li>Overflow – Bladder over distention. Includes frequent or constant dribbling </li></ul></ul></ul>
  7. 7. Post-Prostatectomy Incontinence <ul><li>Occurs after surgery and catheter is removed, may be total loss of control or only with activity (brisk walking, climbing stairs etc) </li></ul><ul><li>May last days to months (not uncommon to last 12 months or longer) </li></ul><ul><li>Limiting fluid intake is NOT the answer!! </li></ul><ul><li>Pelvic muscle exercise strengthens the muscles that support the bladder and the closure pressure for the male urethra </li></ul>
  8. 8. Post-Prostatectomy Incontinence <ul><li>Types of incontinence: </li></ul><ul><ul><li>urge, </li></ul></ul><ul><ul><li>stress (leakage provoked with need to urinate or activity) </li></ul></ul><ul><li>Change in urine stream (force & caliber) may signal a problem (see the surgeon) </li></ul>
  9. 9. Pelvic Muscle Re-Training <ul><li>Often called Kegel exercises (after Dr. Kegel- gyn) </li></ul><ul><li>Focus on firm but GENTLE contraction of the pelvic floor muscles by contracting the rectum, lifting inward and upward as if trying to stop a gas bubble or bowel movement </li></ul><ul><li>Effective especially in activities that increase bladder pressure from change of position (sitting to standing, etc) </li></ul>
  10. 10. Pelvic Muscle Re-Training Combining exercise with proper hydration (water, non-irritating beverages) and an appropriate protective/containment device is essential for the recovery of the male patient following radical prostatectomy or seed implantation (brachytherapy)
  11. 11. Other Treatment Options Biofeedback with or without electrical stimulation may be helpful or necessary to help locate, isolate and correctly contract the muscles that support the bladder and the bladder closing mechanism in the absence of the prostate. Treatments carried out by a RN, NP or PT in most cases several sessions over 4-6 weeks improves control significantly
  12. 12. Product Selection <ul><li>Clamps- metal, often uncomfortable or painful to use (approx 31/2 inches across and 1/2inch wide) </li></ul><ul><li>Foam compression device, held on as Velcro wrap (several sizes, gentle compression, firm but soft design) </li></ul><ul><li>Disposables – Bladder Control Pads </li></ul>
  13. 13. GT Urological, LLC introduces a breakthrough in treating and managing male urinary incontinence. GT Urological, LLC introduces a breakthrough in treating and managing male urinary incontinence
  14. 14. What is the ActiCuf ™ ? <ul><li>• A disposable pouch that actually improves the quality of life for men with light to moderate urinary incontinence by preventing leakage and providing absorbent protection. </li></ul>
  15. 15. How does the ActiCuf ™ work? When placed on the penis, the padded closure gently clamps the urethra to control urinary flow. Any leakage is immediately absorbed by the ActiCuf™ disposable pouch.
  16. 16. Here’s How To Use: <ul><li>STEP 1 </li></ul><ul><li>Hold the ActiCuf™ disposable pouch with your thumb and forefinger. </li></ul>
  17. 17. STEP 2 Squeeze the ActiCuf ™ disposable pouch until the end is completely open and round in shape. Insert penis as far as possible into the opening of the device.
  18. 18. STEP 3 Release pressure so the ActiCuf™ disposable pouch fits snugly around the penis. Adjust as necessary to achieve the greatest comfort and ultimate leakage protection.
  19. 19. ActiCuf ™ Compression Pouch <ul><li>• Padded closure for a comfortable fit </li></ul><ul><li>• Discreet shape and size </li></ul><ul><li>• Absorbent pouch incase of urine leakage </li></ul>
  20. 20. Why would patients like the ActiCuf ™ Compression Pouch? <ul><li>• No-fail protection </li></ul><ul><li>• Feels natural </li></ul><ul><li>• Thin size and shape is virtually undetectable </li></ul><ul><li>• Easy to remove </li></ul><ul><li>• Convenient to carry </li></ul><ul><li>• Suitable for use at public urinals </li></ul>
  21. 21. How Do Patients Purchase the ActiCuf ™ Compression Pouch? <ul><li>• Sold in 10 & 30 packs…One size fits all. </li></ul><ul><li>• Buy online, visit </li></ul><ul><li>• Call toll free 1-877-GTU-4DRY (1-877-488-4379) </li></ul><ul><li>• Local DME’s/retail outlets (check our website for a location near you) </li></ul>
  22. 22. Reimbursement <ul><li>• Each patient spends approximately $1,700.00/year on urinary incontinence supplies. </li></ul><ul><li>• Medicare HCPCS billing code: A4356 - External Urethra Clamp or Compression Device </li></ul><ul><li>• Medicare HCPCS billing code: A4335 - Incontinence supply; miscellaneous </li></ul>
  23. 23. Questions Call us with any questions at 1-877-488-4379 or 612-379-3578
  24. 24. Thank You!
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