Laugh, Sneeze and Cough Without Worry

New hope for men and women

Afraid a sneeze will reveal your secret? There’s new hope. A urology team at CHI Health is the first in the US and the only team in Nebraska to implant the ACT, pioneering a new treatment for women.

Adjustable Continence Therapy (ACT) devices are balloons implanted on each side of the urethra during a noninvasive 20-minute procedure. The fluid-filled balloons help stop accidental leaks caused by pressure – coughing, sneezing, laughing, exercising or lifting something heavy.

“Stress incontinence typically occurs after a woman ages, delivers multiple babies, has pelvic surgeries or a prolapse of the uterus,” said Michael Feloney, MD, CHI Health Urologist. “Most women are unaware of new treatment options, like this FDA trial, because they hesitate to talk to their doctor about it.”

It’s not just for women. Dr. Feloney’s team was also instrumental in getting FDA approval of the similar treatment for men.

Talk to your primary care provider or find a urologist near you


Gotta go?

In the US, 30% of men and 40% of women live with overactive bladder symptoms. It can often be cured or at least controlled through lifestyle changes, therapy, medication, or non-invasive procedures.

Don’t let embarrassment prevent you from living a full and active life. Talk with your health care provider. In the meantime, try limiting food and drinks that can irritate your bladder:

  • Coffee, tea, alcohol, fizzy drinks
  • Some citrus fruits, tomato-based spicy foods
  • Caffeine, chocolate (not white chocolate)

Work it out!

Incontinence, constipation, pelvic pain and prolapse are common, but don’t have to be a normal part of daily life. Pelvic floor therapy is exercise-based rehabilitation that helps to strengthen, relax and retrain the muscles supporting the pelvis (bladder, bowel and uterus). CHI Health specialists work with women and men of all ages.


C. Michael Kelly, MD

Orthopedic Surgery