✦ Male Incontinence Treatment

AMS 800 Implantation — Perineal Approach

Q: When can I activate and use the AMS 800 after surgery?

The device is deactivated for 6 weeks after implantation to allow tissue healing; activation is performed in the clinic and the patient is taught to operate the pump.

Q: How do I use the AMS 800 pump?

To urinate, squeeze the scrotal pump several times until the cuff opens; the device automatically refills and closes the cuff within 3–5 minutes.

Q: What are the risks of AUS implantation?

Device infection (2–5%), erosion (5–8%), and mechanical failure (10–15% at 10 years) are the main risks; revision surgery addresses most complications.

Artificial Urinary Sphincter Implantation via Perineal Approach

60–90 min PROCEDURE

1–2 Days HOSPITAL STAY

>90% SUCCESS RATE

6–8 Weeks RECOVERY

What is AMS 800 Implantation — Perineal Approach?

The AMS 800 Artificial Urinary Sphincter (AUS) is the gold-standard surgical treatment for moderate-to-severe stress urinary incontinence in men, most commonly following radical prostatectomy. The device consists of an inflatable cuff placed around the bulbar urethra, a pressure-regulating balloon reservoir, and a pump placed in the scrotum. When the pump is squeezed, fluid transfers from the cuff to the reservoir, allowing the urethra to open and urination to occur. The perineal approach is the standard approach for primary AUS implantation. The procedure is performed under general or spinal anaesthesia with a hospital stay of 1–2 Days.

Men with moderate-to-severe stress urinary incontinence following radical prostatectomy, TURP, or urethral surgery, who have failed or declined conservative management. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Perineal Incision & Urethra Dissection

Perineal incision; bulbar urethra dissected and measured for cuff sizing.

Cuff Placement

Appropriately sized cuff placed around the bulbar urethra.

Reservoir Placement

Reservoir balloon placed in the retropubic space through a separate groin incision.

Pump & Connection

Scrotal pump implanted in the dependent scrotum; all components connected and tested.

Device Deactivation & Closure

Device deactivated for 6 weeks; wound closed; catheter placed overnight.

Outcomes

60–90 minDURATION

1–2 DaysHOSPITAL STAY

>90%SUCCESS RATE

6–8 WeeksFULL RECOVERY

Who Needs This Treatment?

→Gold standard for post-prostatectomy incontinence — most durable device available.
→Over 90% patient-reported success with dry or near-dry outcome.
→Restores normal urethral sphincter mechanism physiologically.
→Device activated 6 weeks after surgery allowing complete wound healing.
→Long device lifespan — 70–80% of devices functional at 10 years.
→Reversible — device can be deactivated or removed if required.

"The AMS 800 has given countless men their lives back after post-prostatectomy incontinence. When fitted correctly, over 90% of patients achieve the dryness they were hoping for — and the confidence that comes with it."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

When can I activate and use the AMS 800 after surgery?+

How do I use the AMS 800 pump?+

What are the risks of AUS implantation?+

Not sure which treatment is right for you?

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