Abstract: An apparatus for preventing incontinence includes a tubular body with a first guiding element connected to a tube-shaped retaining element with a second guiding element that opens axially into a termination on a side of the retaining element. The retaining element is formed of a reversible stretchable and compressible metal grille that is air-tight and fluid-tight at the termination in a region of a transition thereof to the tubular body. A fixing device that fixes the apparatus when the apparatus is immovably implanted in a body tissue of a patient is formed of the first guiding element defining areas with axially spaced projections. In a non-extended state, the projections are formed as slits protruding out of the surface of the first guiding element and, in an axially extended state, the projections are immovably implanted in the body tissue when the first guiding element is compressed in an axial direction.