💡 Artificial Urinary Sphincter (AUS) Expertise of Dr. Yasir Iqbal

An Artificial Urinary Sphincter (AUS) is a mechanical device implanted surgically to treat severe urinary incontinence, particularly in men after prostate surgery. It is considered the gold standard treatment for male stress urinary incontinence when other therapies (like medications or slings) are not effective.

📌 What Is Urinary Incontinence?

Urinary incontinence is the involuntary leakage of urine, often caused by a weak or damaged urinary sphincter—the muscle that controls urine flow from the bladder.

This commonly occurs:

• After prostate surgery (radical prostatectomy)

• Due to pelvic trauma

• Following neurological conditions

⚙️ How the Artificial Urinary Sphincter Works

The AUS device is made up of three components:

1. Cuff: Placed around the urethra to keep it closed and prevent urine leakage

2. Pump: Positioned in the scrotum, used to activate the device

3. Balloon reservoir: Placed in the abdomen, it regulates pressure and refills the cuff

✅ How It Works:

• The cuff stays inflated to keep the urethra closed and prevent leaks.

• When you want to urinate, you squeeze the pump in the scrotum, which deflates the cuff, allowing urine to flow.

• After a few minutes, the cuff automatically refills and closes the urethra again.

🏥 The AUS Surgical Procedure

• Usually done under general or spinal anesthesia

• Outpatient or short hospital stay (1–2 days)

• Surgery takes about 1 to 2 hours

• Activation of the device occurs 4–6 weeks after surgery

⏱ Recovery Timeline

• Mild swelling, bruising, and discomfort for a few days

• Avoid strenuous activity or heavy lifting for 4–6 weeks

• Resume sexual activity once cleared by the doctor

• Full function of the device begins after activation visit

✅ Benefits of AUS

• Highly effective (success rates of 85–90% or more)

• Significant improvement in quality of life

• No external device or pads needed for many patients

• Long-lasting solution (device can last 8–15 years)

⚠️ Potential Risks

Like any surgical procedure, AUS has some risks:

• Infection or erosion of the device

• Mechanical failure or device malfunction (rare)

• Need for revision or replacement surgery over time

• Temporary difficulty in urination or overactive bladder

🧠 Summary

An Artificial Urinary Sphincter is a trusted and proven solution for men with moderate to severe urinary incontinence, especially after prostate surgery. With high satisfaction rates and a reliable mechanism, it restores control and confidence in everyday life.