Artificial Urinary Sphincter

consultation
What is Artificial Urinary Sphincter?

An artificial urinary sphincter (AUS) is a medical device used to treat urinary incontinence (inability to control urine leakage) in individuals, especially men, who have a weakened or damaged urinary sphincter. The urinary sphincter is a muscle that controls the release of urine from the bladder. When the natural sphincter becomes weak due to surgery, injury, or other conditions, the artificial sphincter can be implanted to take over its function.

When to consult a doctor for Artificial Urinary Sphincter?

Suggesting for an AUS involves several steps: Medical History Review, Physical Examination, Urodynamic Testing, Cystoscopy & Imaging Tests.

You should consult a doctor if:

  • Persistent Urinary Incontinence: If you have continuous or significant leakage of urine that affects your daily life or quality of life, especially after procedures like prostate surgery (for men) or other pelvic surgeries (for women).
  • Stress Urinary Incontinence: This occurs when physical activity like coughing, sneezing, or lifting heavy objects leads to urine leakage, and conservative treatments (like pelvic floor exercises) have failed.
  • Incontinence Following Radiation Therapy: Some patients develop incontinence after undergoing radiation therapy for prostate or bladder cancer, and an AUS may help control it.
  • No Improvement with Other Treatments: If non-surgical treatments like medication, pelvic floor exercises (Kegels), or urinary catheters have not successfully managed your symptoms.
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Causes
  • Prostate Surgery
  • Pelvic Surgery
  • Spinal Cord Injuries
  • Congenital Conditions
  • Neurological Disorders
Symptoms
  • Involuntary Urine Leakage
  • Constant Dribbling or Sudden Urine Loss
  • Frequent Use of Incontinence Pads
  • Failed Alternative Treatments
  • Psychological or Social Impact
Frequently Asked Questions

The surgery usually takes about 1-2 hours. Most patients can go home the same day or the day after the procedure. Recovery may take several weeks, during which patients should avoid strenuous activities.

No, the AUS is usually not activated until 4-6 weeks after surgery, allowing time for healing. The doctor will instruct you on how to use the device after this period.

As with any surgery, there are risks, including infection, device malfunction, or erosion of the cuff. However, most complications are rare, and the device can be replaced or repaired if necessary.