The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on insertion of extraurethral (non-circumferential) retropubic adjustable compression devices for stress urinary incontinence in men in July 2007.
This guidance has been withdrawn as the use of this procedure is now covered in the clinical guideline on the management of lower urinary tract symptoms in men, published in May 2010, www.nice.org.uk/cg97. NICE has no plans to carry out further assessment of this procedure under the Interventional Procedures Programme.
During surgical treatment for prostate cancer the urethra may become damaged. This causes stress urinary incontinence, which is the involuntary leakage of urine during exercise or certain movements such as coughing, sneezing and laughing. Some men with stress incontinence may be helped by an operation in which a device is inserted behind the pubic bone and outside the urethra. The device consists of two fluid-filled balloons that apply pressure on the urethra to control leakage of urine.