Artificial Urinary Sphincter Implant

Artificial urinary sphincter implants can help men avoid urinary incontinence after prostate surgery or trauma to the urinary sphincter. At Bladder Health & Reconstructive Urology Institute, Angelo Gousse, MD, has more than 25 years of experience and advanced training in urologic reconstruction to help relieve incontinence symptoms and improve your quality of life. With locations in Aventura, Miramar and West Palm Beach, Florida, Dr. Gousse and his team provide unparalleled care and dedication to their patients for all of their urology needs. To schedule a visit, call the office nearest you or book online today.

Artificial Urinary Sphincter Implant Q & A

An artificial urinary sphincter (AUS) implant is a surgical device that can be implanted to reduce urinary incontinence in men. It’s considered the gold standard treatment for urinary incontinence after prostate cancer treatment, which may damage the urinary sphincter and lead to incontinence, or urinary leakage.

In most cases, urinary incontinence after prostate surgery resolves within one year. However, long-term urinary incontinence can cause emotional and physical distress, necessitating additional treatment.

Dr. Gousse may recommend an AUS implant if you’ve undergone physical therapy, medications, and at-home care strategies to avoid urine leakage without success. In order to determine if an implant is right for you, Dr. Gousse begins with a series of diagnostic tests to determine the type of incontinence you’re experiencing.

Types of tests may include:

  • Cystoscopy
  • Bladder capacity measurements
  • Urodynamics
  • Disease and cancer screenings

Certain health factors may make recovery after surgery difficult, including diabetes, anticoagulant therapy, and coronary artery disease. If you have any of these health issues, Dr. Gousse may recommend alternative treatment options.

An AUS consists of three parts: a cuff around the urethra, a pump inside the scrotum, and a balloon that holds fluid for the device. When you want to urinate, you squeeze the pump, which releases pressure from the cuff around the urethra. 

While the cuff is open, you’re able to urinate until the cuff closes automatically in three to five minutes. The fluid in the balloon maintains the hydraulic pressure necessary for the pump to function properly.

While you’re under local or general anesthesia in the hospital, Dr. Gousse makes two small incisions in the groin area and between your scrotum and rectum. Dr. Gousse places the properly sized cuff around your urethra and passes tubing for the pump into your groin area.

Dr. Gousse then places the pressure-regulating balloon behind your abdominal muscles and the pump into your scrotum. He connects the attachments to all portions of the implant and ensures it functions properly before closing your incisions. The cuff is locked open for 4-6 weeks until you recover.

The surgery lasts about an hour, and you can typically return home the same day. Recovery takes 2-3 weeks, and your device is activated without surgery in the office within 4-6 weeks.

To learn more about artificial urinary sphincter implants, book a visit online at Bladder Health & Reconstructive Urology Institute or call now.

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