Stress urinary incontinence affects millions of women worldwide who find themselves in an embarrassing siutation after sneezing, laughing, coughing, or exercising.

Now, with the Adjustable Continence Therapy (ACT) from Uromedica, you can effectively treat stress urinary incontinence with confidence and post-operatively adjust the therapy to meet your individual needs.

A lifetime solution to a life-long problem Why patients prefer ACT: Offers freedom to be active Improves self-esteem A minimally invasive procedure with quick recovery May be adjusted in minutes An easily reversible procedure Lower medical expense The benefits of ACT: Effective for Type II and Type III stress urinary incontinence Provides optimal adjustability (post-operatively) Silicone balloon offers long-term durable prosthetic Subcutaneous port offers easy access for adjustments in balloon volume Adjustability eliminates risk of over-treatment or under-treatment Larger balloon volume reduces the need for multiple devices Does not migrate and is not absorbed Does not penetrate the urethral wall Does not cause allergic reaction Non-destructive to tissue Minimally invasive (20-30 minute outpatient procedure) with local anesthesia Multiple lengths to meet your patients individual needs (6 cm - 9 cm) No fixation sutures or anchors required No abdominal or vaginal incisions Easily implanted through a slotted sheath Can be removed easily Can be used on women of childbearing age

Post-operatively adjustable implants places bilaterally in a periurethral position at the bladder neck maintain uniform coaptation and normal bladder control. The balloons are post-operatively adjustable through a small subcutaneous port.

Who is eligible for ACT? Do you leak urine when you exert pressure on your bladder by sneezing, laughing, coughing, jumping, standing, or lifting? Do you wear pads because of urine leakage? After you feel the urge to urinate do you have difficulty making it to the toilet before you begin to leak urine? Do you feel your bladder does not empty completely? Have you tried exercises or electrical stimulation but failed to get results? Have you had corrective surgery for incontinence but are still experiencing leakage? Have you altered your sexual activity due to leaking? Have you reduced activities such as exercising, traveling, socializing, or dancing because of the threat of uring leakage?

Ages 18-28 The young, highly fit and active woman experiencing loss of bladder control during physical exertion. Ages 25-45 The young woman who has experienced urine leakage as a result of childbearing. Ages 45-60 The menopausal woman who may experience a loss of bladder control as a result of the physical changes of menopause. Ages 60+ The mature woman who has involuntary leakage andmay have difficulty in self-care.

Urological Surgeons of Illinois, LTD.