Artificial Urinary Sphincters Vs. Other Urinary Incontinence

Urinary incontinence can be life-disrupting, affecting both men and women for various reasons, from aging and childbirth to neurological conditions or surgery. For many, the artificial urinary sphincter (AUS) has long been considered a reliable treatment, especially for stress incontinence. However, it’s not the only option. In fact, advancements in pelvic floor therapy, exercise, and minimally invasive procedures have opened the door to effective alternatives.

In this blog, we’ll compare artificial urinary sphincters to other treatment options and discuss how pelvic floor exercises and non-surgical methods may benefit those dealing with incontinence or pelvic organ prolapse.

What Is an Artificial Urinary Sphincter?

An artificial urinary sphincter is a small device surgically implanted to help control urine flow. It’s primarily used in men who suffer from stress urinary incontinence following prostate surgery. The device mimics the natural function of the urinary sphincter, allowing the user to activate it manually to empty the bladder.

While effective, the AUS isn’t for everyone. Some patients may prefer or benefit from less invasive options.

What Is the Alternative to the Artificial Urinary Sphincter?

Alternatives to AUS include:

• Male sling procedures

• Pelvic floor muscle training

• Bladder retraining

• Physical therapy

• Minimally invasive bulking agents

• Lifestyle modifications

Is a Male Sling Better Than an Artificial Urinary Sphincter?

That depends on the severity of incontinence and patient preference. Male slings are often used for mild to moderate incontinence and do not require activation like an AUS. They’re less invasive and come with shorter recovery time, but may not be as effective in cases of severe leakage.

What Is the Most Effective Treatment for Urinary Incontinence?

There’s no one-size-fits-all answer. The best treatment depends on:

• The type of incontinence (stress, urge, overflow, mixed)

• The underlying cause

• Patient lifestyle and goals

For some, surgery is the best option. For others, conservative therapies like pelvic floor muscle relaxation and strengthening exercises bring significant relief.

The Role of Exercise in Managing Incontinence and Prolapse

If you’ve been diagnosed with a prolapsed bladder, prolapsed uterus, rectocele, or cystocele, exercise might not just be safe—it can be a cornerstone of recovery.

Best Exercises for Pelvic Floor Prolapse

Many physical therapists recommend:

• Kegel exercises for prolapsed uterus

• Pelvic floor exercises for prolapsed womb

• Cystocele exercises

• Rectocele prolapse exercises

• Uterine prolapse exercises

These focus on strengthening the pelvic floor to better support the organs.

Exercises for Dropped or Fallen Bladder

Specific exercises for prolapsed bladder, such as pelvic floor stretches, Kegels, and low-impact core training, can reduce symptoms and prevent further descent of the bladder.

Can Kegels Help Prolapse?

Yes, but only when done correctly. In some cases, people with tight pelvic floor muscles may experience worsening symptoms if Kegels are done without proper evaluation. This is why pelvic floor relaxation exercises are just as important as strengthening.

Pelvic Floor Muscle Relaxation and Stretching

Tight, overactive pelvic muscles can contribute to urinary urgency, pelvic pain, and incomplete emptying. That’s where pelvic floor relaxation and muscle stretching exercises come in.

How to Relax Tight Pelvic Floor Muscles (Especially in Females)

Here are some helpful strategies:

• Diaphragmatic breathing to reduce tension

• Child’s pose, happy baby pose, and other yoga-inspired pelvic floor stretches

• Pelvic floor muscle relaxation exercises focused on awareness and release

• Visualization and gentle internal techniques guided by a therapist

Practicing how to relax pelvic floor muscles when sitting or during daily activities can significantly improve comfort and bladder function.

How to Fix or Loosen a Tight Pelvic Floor

If you’re experiencing symptoms of tension or pain, such as:

• A constant need to urinate

• Difficulty starting urination

• Pain during intimacy

• Pelvic aching

…then you may benefit from working on how to relax your vag naturally, using breathwork, manual therapy, or physical therapy exercises for prolapsed bladder.

Surgery vs. Therapy: Which Type of Incontinence Is Best Treated with Surgery?

Surgery is generally reserved for:

• Severe stress incontinence

• Pelvic organ prolapse causing significant symptoms

• Failed conservative treatments

But for many, especially those with mild to moderate symptoms, pelvic floor dysfunction treatment at home is a great starting point.

Prolapse and Exercise: What You Should Know

Some people worry that exercise will worsen their condition. In reality, when done correctly, exercise for pelvic organ prolapse can:

• Improve support to the bladder and uterus

• Alleviate pressure and discomfort

• Reduce the need for surgical intervention

Your provider or pelvic floor therapist can guide you on how to release pelvic floor muscles, use lower pelvic floor stretches, and gradually build strength.

Final Thoughts

Whether you’re considering an artificial urinary sphincter or exploring non-surgical methods, the right solution for urinary incontinence should match your symptoms, lifestyle, and goals. For many, pelvic floor exercises, relaxation techniques, and conservative therapies are not only safer—they can be highly effective.

If you’re unsure where to begin, start by connecting with a pelvic floor specialist or physical therapist trained in treating prolapse and pelvic dysfunction. With the right plan in place, you can regain control, confidence, and comfort—without rushing into surgery.