The document discusses managing urinary incontinence in men, including anatomy of the urinary system, statistics on incontinence, and treatments like pelvic muscle exercises and products like the ActiCuf compression pouch. The ActiCuf is a disposable pouch that improves quality of life for men with light to moderate incontinence by preventing leaks and providing absorbency. It works by gently clamping the urethra to control flow, and can be purchased online or from local medical equipment retailers.

1. Managing Incontinence

2. Anatomy & Physiology of Urinary System Incontinence facts and statistics Post-Prostatectomy Incontinence Pelvic Muscle Re-Training Treatment Options & Product Selection ActiCuf Introduction Questions Contents

3. Anatomy & Urinary System The ability to hold urine is dependent on having normal anatomy and a normally functioning urinary tract and nervous system. The Prostate gland is an organ that surrounds the urinary urethra in men. The urethra carries urine from the bladder, through the prostate gland to the penis.

4. Urinary Facts 150-180 liters of fluid is processed by the kidneys daily Adult Bladder capacity is between 300 and 600ml. Most people will urinate before this volume is reached. Most people empty their bladders between 4 and 8 times a day

5. Incontinence Facts Incontinence is described as the involuntary loss of urine from the bladder Over 30 Million Americans are affected by Incontinence, 85% are Women. Approximately 30,000 new cases of male urinary incontinence a year from prostate surgeries alone.

6. Incontinence Facts Incontinence is a symptom, not a disease Incontinence is not a normal part of the aging process Types of Incontinence: Stress – Involuntary loss of small amounts of urine due to increased intra-abdominal pressure Urge – Involuntary loss of Urine with a strong sense of urgency Mixed – Combination of Urge and Stress common in older women Overflow – Bladder over distention. Includes frequent or constant dribbling

7. Post-Prostatectomy Incontinence Occurs after surgery and catheter is removed, may be total loss of control or only with activity (brisk walking, climbing stairs etc) May last days to months (not uncommon to last 12 months or longer) Limiting fluid intake is NOT the answer!! Pelvic muscle exercise strengthens the muscles that support the bladder and the closure pressure for the male urethra

8. Post-Prostatectomy Incontinence Types of incontinence: urge, stress (leakage provoked with need to urinate or activity) Change in urine stream (force & caliber) may signal a problem (see the surgeon)

9. Pelvic Muscle Re-Training Often called Kegel exercises (after Dr. Kegel- gyn) 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 Effective especially in activities that increase bladder pressure from change of position (sitting to standing, etc)

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. 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. Product Selection Clamps- metal, often uncomfortable or painful to use (approx 31/2 inches across and 1/2inch wide) Foam compression device, held on as Velcro wrap (several sizes, gentle compression, firm but soft design) Disposables – Bladder Control Pads

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. What is the ActiCuf ™ ? • 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.

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. Here’s How To Use: STEP 1 Hold the ActiCuf™ disposable pouch with your thumb and forefinger.

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. 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. ActiCuf ™ Compression Pouch • Padded closure for a comfortable fit • Discreet shape and size • Absorbent pouch incase of urine leakage

20. Why would patients like the ActiCuf ™ Compression Pouch? • No-fail protection • Feels natural • Thin size and shape is virtually undetectable • Easy to remove • Convenient to carry • Suitable for use at public urinals

21. How Do Patients Purchase the ActiCuf ™ Compression Pouch? • Sold in 10 & 30 packs…One size fits all. • Buy online, visit www.ActiCuf.com • Call toll free 1-877-GTU-4DRY (1-877-488-4379) • Local DME’s/retail outlets (check our website for a location near you)

22. Reimbursement • Each patient spends approximately $1,700.00/year on urinary incontinence supplies. • Medicare HCPCS billing code: A4356 - External Urethra Clamp or Compression Device • Medicare HCPCS billing code: A4335 - Incontinence supply; miscellaneous

23. Questions Call us with any questions at 1-877-488-4379 or 612-379-3578

24. Thank You!