✦ Male Incontinence Treatment

AMS 800 Implantation — Scrotal Approach

Q: Is the scrotal approach as good as the perineal approach?

Outcomes are equivalent; approach selection depends on prior surgery, anatomy, and surgeon experience — both reliably achieve >90% continence rates.

Q: What happens if the AMS 800 device gets infected?

Device infection usually requires complete explantation; re-implantation is planned 3–6 months later with antibiotic preparation. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Q: Can the AMS 800 be placed after prior urethral surgery?

Yes — AUS can be placed after urethroplasty or OIU; urethral integrity must be confirmed and the urethra fully healed before implantation.

AMS 800 Implantation via Trans-Scrotal Approach for Simplified Access

60–90 min PROCEDURE

1–2 Days HOSPITAL STAY

>90% SUCCESS RATE

6–8 Weeks RECOVERY

What is AMS 800 Implantation — Scrotal Approach?

The scrotal approach for AMS 800 artificial urinary sphincter implantation accesses the bulbar urethra and creates the scrotal pump pocket through a single midline or penoscrotal incision. It allows placement of the cuff, pump, and reservoir all from one operative field in selected cases, and is particularly useful in revision surgery where perineal scarring may complicate the standard approach. Outcomes are equivalent to the perineal approach in experienced hands. The procedure is performed under general or spinal anaesthesia with a hospital stay of 1–2 Days.

Men requiring AUS implantation where a trans-scrotal or penoscrotal approach is preferable due to prior perineal surgery, scarring, or surgeon preference in suitable anatomy. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Scrotal Incision & Urethra Identification

Midline scrotal or penoscrotal incision; bulbar urethra identified and dissected.

Cuff Placement

Cuff measured and placed around the urethra at the bulbar level.

Pump Placement

Tubing tunnelled to scrotal pump pocket; pump positioned in the scrotum.

Reservoir Placement

Reservoir placed in retropubic space through infrapubic tunnel.

Connection & Deactivation

Components connected; device deactivated; wound closed.

Outcomes

60–90 minDURATION

1–2 DaysHOSPITAL STAY

>90%SUCCESS RATE

6–8 WeeksFULL RECOVERY

Who Needs This Treatment?

→Single incision approach in selected patients reduces operative complexity.
→Useful in revision surgery with perineal scarring limiting standard access.
→Equivalent continence outcomes to perineal approach in experienced hands.
→Pump and cuff accessible from same incision for device testing.
→Familiar anatomical approach for surgeons trained in penoscrotal access.
→Device deactivated 6 weeks allowing healing before activation.

"The trans-scrotal approach extends our options for AUS implantation, particularly in revision surgery. Whatever the approach, the goal is the same — restoring dignified continence and quality of life to men who deserve it."

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

Common Questions

Frequently Asked

Is the scrotal approach as good as the perineal approach?+

What happens if the AMS 800 device gets infected?+

Can the AMS 800 be placed after prior urethral surgery?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

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