Ah, Oaklet me dear you need an 'artificial sphincter device',a devilishly clever little thing that is put in place through a very simple 3 to 4 inch incision between the scrotum and rectum. After entering the deep structure of the perineum the urethra is found and is circumscribed for approximately 1 ½ to 2 inches.

A doughnut-like cuff is then placed around the urethra at its proximal bulbar portion. This is attached to a pump mechanism placed in the scrotal compartment next to the testicle.In addition, the pump is attached to a small cylinder holding 25 cc of salt water that is placed through the same incision retroperitoneal and above the pubic bone. This reservoir pushes fluid into the cuff around the urethra compressing these structures and acting as an artificial sphincter or valve.

As the bladder fills and the patient develops an urge to void compression two or three times of the pump mechanism in the scrotum pushes the fluid that is compressing the urethra in the cuff back into the reservoir such that the patient has 2 ½ to 3 minutes to void and empty his bladder. As soon as voiding is complete the reservoir by virtue of its pressure and elasticity pushes fluid, 1into the donut cuff compressing the urethra or bladder neck and again giving urinary control until the next voiding sensation.

This procedure can be done my most qualified, experienced urological surgeons or if you don't want to wait for ever on a waiting list, I don't mind giving it a go, it can't be that difficult!!