What is ProACT?

ProACT (Adjustable Continence Therapy) uses two small fluid-filled balloons placed on either side of the urethra. These balloons provide gentle pressure to improve urinary control. The balloons can be adjusted in the office to achieve the right level of continence over time. It is an outpatient procedure performed under anesthesia, usually in under 30 minutes, with a fast recovery.

Why Choose ProACT?

  • First-line treatment: Effective for mild, moderate, and severe male stress incontinence.
  • Minimally invasive: No large incision; faster recovery compared to other options.
  • Adjustable: Balloons are fine-tuned monthly until continence is achieved.
  • High success rate: Studies show most men experience major improvement in leakage and quality of life.
  • Compared to Sling: ProACT avoids the need for extensive surgery and is effective in more severe cases.
  • Compared to Artificial Urinary Sphincter (AUS): Less invasive, easier recovery, and does not require manual activation.
  • Patient preference: Most men today choose ProACT first due to convenience, quick recovery, and strong results.

What to Expect After ProACT Placement

  • Follow-up adjustments: Monthly in-office balloon adjustments are needed until you reach your treatment goal.
  • Time to results: Improvement may take 2 to 8 months depending on severity.
  • Activity: Most men return to normal activities within a few days.
  • Durability: Long-term success is high, with the ability to readjust balloons if needed in the future.

Risks and Considerations

  • Temporary discomfort or swelling after placement.
  • Rare infection or need for revision surgery.
  • Balloon leakage or movement (uncommon, but treatable).
  • Most complications are minor and can be corrected.
  • Your urologist will monitor progress closely at each adjustment visit.
  • For many men, benefits far outweigh risks, especially compared with more invasive options.