Urinary Incontinence Treatment in Miami

Leaking urine is common, and it is treatable — for men and for women. Dr. Edward Gheiler, MD, FACS treats urinary incontinence in Hialeah for the greater Miami area, and he teaches the male incontinence implant procedures (the artificial urinary sphincter and the AdVance XP sling) to other urologists in Boston Scientific physician-education programs.

First: which kind of leakage is it?

Treatment starts with the right diagnosis, because different kinds of incontinence are treated differently:

Stress incontinence — leaking with a cough, sneeze, lift, or exercise. In men this most often follows prostate surgery; in women it usually relates to childbirth and menopause.
Urge incontinence (overactive bladder) — a sudden, hard-to-hold need to urinate. Usually treated with bladder training and medication, not surgery.
Mixed — many patients have some of both, which is why the evaluation matters before any treatment is chosen.

For men: leakage after prostate surgery

Stress incontinence in men most often follows a prostatectomy. It usually improves during the first year, especially with pelvic floor exercises, and Dr. Gheiler will not rush a man to surgery while natural recovery is still happening. When leakage persists, two implanted options treat it directly:

The AdVance™ XP male sling — a supportive strip placed under the urethra in an outpatient procedure, for mild to moderate leakage. There is nothing to operate: it supports the urethra continuously.
The AMS 800™ artificial urinary sphincter — for moderate to severe leakage. A small fluid-filled cuff gently closes the urethra; to urinate, the man presses a concealed pump in the scrotum and the cuff opens, then closes again on its own. Patients control it themselves, and the device is invisible from the outside.

Dr. Gheiler teaches these procedures to other urologists in Boston Scientific physician-education programs, alongside the penile implant surgery he is known for. Men who have both problems after prostate surgery — leakage and erectile dysfunction — can have both treated by the same surgeon, and the operations can be planned together.

For women

Stress incontinence in women is treated on its own page: from pelvic floor therapy to the Desara® One single-incision sling. See female stress urinary incontinence treatment.

The honest conversation about risks

Implanted incontinence devices carry real risks: infection, erosion of the cuff or sling into the urethra, mechanical failure over the years, and the possibility of a revision operation. Some men are better served by staying with conservative treatment, and Dr. Gheiler will say so when that is true.

This page is patient education and does not replace a medical consultation. Individual results vary. Discuss your specific case with your urologist.

Frequently asked questions

Is urine leakage after prostate surgery permanent?

Often not. Leakage after prostatectomy usually improves during the first year, especially with pelvic floor exercises. When it persists beyond that, it is still treatable — with the AdVance XP male sling for milder leakage or the AMS 800 artificial urinary sphincter for more severe leakage.

What is the AMS 800 artificial urinary sphincter?

A concealed implanted device with a small fluid-filled cuff that gently closes the urethra. To urinate, the man presses a small pump placed in the scrotum, the cuff opens, and then it closes again on its own. It is used for moderate to severe stress incontinence, most often after prostate surgery.

What is the AdVance XP male sling?

A supportive strip placed under the urethra through a small incision, in an outpatient procedure. It is an option for mild to moderate stress incontinence, and unlike the artificial sphincter there is nothing for the patient to operate.

Do you also treat incontinence in women?

Yes. Female stress urinary incontinence has its own treatment ladder, from pelvic floor therapy to the Desara One single-incision sling, covered on the female incontinence page.

Is incontinence surgery covered by insurance?

Treatment for diagnosed, persistent incontinence is typically covered by Medicare and major commercial plans. The practice verifies individual coverage and handles prior authorization before anything is scheduled.

Do you see Spanish-speaking patients?

Yes. Dr. Gheiler and his team see patients in English and Spanish. The Spanish version of this page is at urofeliz.com.

You don’t have to live with leaks

Request a confidential consultation with Dr. Gheiler in Hialeah. English · Spanish · Hebrew.

Private and confidential from your first call: these are problems our office treats every day, with discretion and respect.

Call (305) 822-7227 Schedule a consultation