A Case for Patient-Centered ProACT

The patient, who had previously undergone a prostatectomy due to cancerous samples found in the prostate, experienced stress urinary incontinence (SUI) post-surgery. The condition resulted in urinary leakage, necessitating the use of adult diapers and impacting their daily life.

Post-surgery, the onset of incontinence was sudden, prompting the patient to seek medical advice at Nebraska Urology. Leakage was the major symptom, significantly disrupting the patient’s quality of life. Recognizing the severity of the condition, the patient sought consultation with Dr. Pomajzl at Nebraska Urology.

During the consultation, Dr. Pomajzl discussed various treatment options with the patient. Among the options presented, Dr. Pomajzl recommended the ProACT (Adjustable Continence Therapy) procedure, having been trained in its application by a specialist from Germany. The patient was informed of the potential benefits and chose to proceed with the ProACT procedure, becoming the first patient in Nebraska to undergo this treatment.

Urinary Incontinence

The ProACT procedure involves the implantation of two adjustable balloons to support the urethra, aimed at improving continence. The patient described the procedure as relatively simple, with an initial period of hematuria (blood in urine) that resolved after adjusting the balloon pressure. “I went in one time to correct the pressure, and since that moment, I’ve had no problems whatsoever,” he says. “It’s made a world of difference for me.”

The patient reported immediate and significant improvement in urinary continence. This improvement greatly alleviated the patient’s concerns and eliminated the need for diapers. Regular follow-ups with Dr. Pomajzl every six months have ensured ongoing success and management of the condition. “I’d recommend the procedure to anyone facing this condition,” he says. “I’ve had several people call me about it, having experienced similar issues, and I have nothing but positive things to tell them.”

This case study underscores the effectiveness of the ProACT procedure in treating post-prostatectomy incontinence. The positive outcomes experienced by the patient illustrate the potential of this treatment to provide significant relief and improve the quality of life for individuals suffering from SUI.

“The professionalism and care I received from Dr. Pomajzl and the staff at Nebraska Urology was excellent,” he says. “Nebraska Urology also helped set me up with Medicare and I know they have my best interest at heart.”

The successful outcome of the ProACT procedure has significantly enhanced the patient’s quality of life, allowing for a return to normal activities without the burden of incontinence.