Stress Urinary Incontinence Urologist - Dr. Angelo Gousse, MD

Stress urinary incontinence can happen to men and women — especially as you get older — and may cause urine to leak from your bladder when you cough, sneeze, or laugh. To get help for stress urinary incontinence, visit Angelo Gousse, MD, at Bladder Health & Reconstructive Urology Institute. For more than 25 years, Dr. Gousse has served the communities of Aventura, Miramar and West Palm Beach, Florida, and provided exceptional urologic care for patients throughout Florida. To schedule a consultation, call the office nearest you or book online today.

Stress Urinary Incontinence Q & A

Stress urinary incontinence is a condition that causes unintentional loss of urine when your bladder experiences stress or pressure. Common stressors include:

  • Coughing
  • Sneezing
  • Laughing
  • Standing up from a seated position
  • Exercising
  • Heavy lifting
  • Having sex


Stress urinary incontinence may be more obvious when you have a full bladder, though it can happen at any time. This may be embarrassing or upsetting for you, but evaluation and treatment from Dr. Gousse can help.

It can be humiliating and uncomfortable when you leak urine. The good news is, if your leakage is frequent or becomes overwhelming, you have options.

Incontinence is defined as any involuntary leakage of urine.1 Male stress urinary incontinence (SUI) is usually caused by a damaged or weakened sphincter and occurs when physical movement or activity — such as coughing, laughing, sneezing or heavy lifting — puts pressure or stress on a man’s bladder. The sphincter is the circular muscle that controls urine flow out of the bladder. When damaged, this muscle cannot squeeze and close off the urethra; the result is urine leakage.

SUI is a common side effect of prostate cancer treatment, such as surgery (radical prostatectomy) or radiation. It can also be a symptom from enlarged prostate (BPH) surgery, pelvic trauma or a neurological condition such as spina bifida.3

There is good news – most cases of stress urinary incontinence can be cured or improved.4 It may be recommended to make changes to your daily routine, such as avoiding caffeine and alcohol, limiting fluid intake and following a voiding schedule.5


Some men cope by using absorbent pads and protective undergarments. Others use special devices to try to prevent urine leakage such as penile clamps, and internal and external penile catheters. There are also long-term surgical treatment options including the AMS 800™ Urinary Control System and the AdVance™ XP Male Sling System.

Stress urinary incontinence develops when the muscles and soft tissues that support your bladder and urinary sphincter weaken over time. This may be caused by:

  • Childbirth
  • Prostate surgery
  • Tissue or nerve damage in or near the bladder and urinary sphincter
  • Illnesses that cause chronic coughing or sneezing
  • Obesity
  • Smoking, which can increase coughing
  • High-impact activities over many years, including running and jumping


Both men and women can experience stress urinary incontinence and whether it’s disrupting your daily life and preventing you from doing your regular activities, see Dr. Gousse right away.

Yes, Dr. Gousse offers urodynamic testing in the office to determine what is causing your stress urinary incontinence symptoms. Types of tests include:

Measurements of post-void residual urine

Measurements of urine volume after urination can be taken using diagnostic ultrasound or by using a catheter to drain remaining urine from your bladder.


A catheter is used to fill your bladder while Dr. Gousse checks for leakage and performs tests to determine how much pressure is needed to cause leakage.

Video urodynamics

A video X-ray is taken while your bladder is filled via catheter and then emptied by urinating. This test helps determine your bladder volume and functional capabilities.


Cystoscopy is a visual inspection of your bladder using a scope that is inserted into your bladder in the office with local anesthetic, as needed, to avoid discomfort.

Dr. Gousse also has you complete a voiding diary to determine how often you’re urinating throughout the day.

Depending on the severity of your condition, Dr. Gousse may recommend one of the following treatment options:

  • Pelvic floor muscle exercises
  • Limiting fluid consumption
  • Bladder training exercises
  • Medications, including Botox®
  • Devices for women to support the pelvic floor
  • Surgical interventions, including reconstruction, implants, and sphincter repairs


To determine which treatment option is best, visit Dr. Gousse for an evaluation.

To schedule a visit, call Bladder Health & Reconstructive Urology Institute or book online now.

AMS 800™ Urinary Control System

Considered the gold standard treatment for male SUI, the AMS 800 Urinary Control System provides proven, discreet bladder control.6 90% of patients reported satisfaction with the AMS 800.7

The AMS 800 System is a three-part urinary control system contained completely inside the body.8

  1. Control pump is implanted in the scrotum
  2. Inflatable cuff is placed around the urethra
  3. Saline-filled balloon (PRB) is usually implanted in a natural open space next to the bladder

How it works8

The AMS 800 System is filled with saline and uses the fluid to open and close the cuff surrounding the urethra. When you need to urinate, you squeeze and release the pump in the scrotum several times to remove fluid from the cuff. When the cuff is empty, urine can flow out of the bladder. The cuff automatically refills in a few minutes squeezing the urethra closed to restore bladder control.

Could an AMS 800 System be right for you?

  • Designed to treat male SUI following prostate surgery9
  • Mimics a healthy sphincter, allowing you to urinate when desired9
  • Offers most men with a weakened sphincter muscle the ability to achieve continence4
  • Placed entirely inside the body, it is undetectable to others9
  • Requires good cognitive ability and manual dexterity9

AdVance™ XP Male Sling System

The AdVance XP Male Sling is placed in the body and acts as a hammock, repositioning and supporting the urethra to help restore bladder control. Most patients (up to 89.4%) have long-term success with the AdVance XP Male Sling and are classified as cured or improved.10

How it works

The AdVance XP Sling is designed to stop leakage by supporting the sphincter muscle. The sling is a strip of soft mesh placed inside the body and is designed to move the sphincter back to its natural position to help restore bladder control. The AdVance XP Sling works on its own to restore continence, requiring no action by the patient to function.

Could an AdVance XP Male Sling be right for you?

  • Minimally invasive solution for male SUI
  • Placed entirely inside the body, it is undetectable to others12
  • High success achieved in patients with mild to moderate SUI10
  • Most patients are continent immediately following the procedure11
  • It operates on its own to restore continence11

Stress urinary incontinence is an uncomfortable and awkward condition that causes a person to experience urine loss whenever their bladder is under pressure or stress. Specific everyday actions could create this pressure, such as coughing, laughing, sneezing, exercising, sexual activity, lifting heavy objects or the simple act of standing up from your seat.

If you suffer from stress urinary incontinence, then you should book an appointment for an examination at Gousse Urology. The founder of the clinic, Dr. Angelo Gousse, is one of the leading urologists in South Florida. He has helped men and women overcome their stress urinary incontinence condition for over 25 years.

There are many stress urinary incontinence treatment options available. The appropriate treatment option for you will depend on the severity of your condition and several other factors. If you’d like to learn more about our services, please book an appointment at one of our clinics in Miami-Dade County, Broward County, or Palm Beach County. Our number is (305) 606-7028 or contact us here.

Receive World-Class Treatment

Dr. Gousse is a nationally recognized bladder healthy physician and reconstructive urologist in South Florida. He’s treated hundreds of patients with stress urinary incontinence, and the results are always positive. Their self-confidence was restored as they no longer had to deal with embarrassing urine leakage in public.

Dr. Gousse is more than your average urologist and urinary incontinence specialist. He’s an innovative physician in the field of urology. His medical discoveries and urologic treatments have been featured over 70 times in the most renowned urology research journals in the world.

New patients are always accepted at Gousse Urology. It doesn’t matter if you’ve had previous urologic treatments or not. Our clinics are open to all patients regardless of their medical history, age, race, gender, or ethnicity. We want everyone to feel comfortable and welcome when they come through our doors. Your satisfaction is our objective.

What to Expect

When you visit Dr. Gousse for stress urinary incontinence treatment, the first thing that will be done is urodynamic testing to determine the exact cause of your stress urinary incontinence problem. The tests will help determine your urine volume, bladder pressure for urine leakage, and bladder volume and functionality. A visual bladder inspection will be performed under local anaesthetic as well.

Dr. Gousse will look to see how well you can urinate during the day and how often you leak urine uncontrollably. Based on the results of the tests, the best treatment options for your condition will be recommended to you. As the creator of the Bladder Health & Reconstructive Urology Institute, Dr, Gousse has developed several treatments for controlling urinary incontinence. One of his most famous treatments is Botox.

If pelvic floor muscle exercises and bladder training exercises are not enough to help you control your urination, then medications like Botox might be able to help improve your urinary functions. Otherwise, the last remaining solutions are surgical interventions, such as implants, reconstruction or sphincter repairs. Dr. Gousse will try to exhaust all non-surgical options before recommended one of these surgical procedures.

Contact Us Today

Dr. Gousse understands the discomfort, pain and embarrassment you must be feeling due to your stress urinary incontinence. You can rest assured that you’re in good hands when you visit Dr. Gousse at one of his three South Floridian clinics. His extensive experience and educational background speak wonders for his abilities as a reconstructive urologist and physician.

If you’d like to make an appointment or learn more information about his services, you can call (305) 606-7028 or contact us here. We have offices in Broward County, Palm Beach County, and Miami-Dade County.