✦ Stress Urinary Incontinence Treatment

Artificial Urinary Sphincter — AMS 800 (males)

Q: When can I use the AMS 800 after implantation?

The device is deactivated for 6 weeks post-operatively to allow healing; activation and patient training occurs at the 6-week clinic visit.

Q: What happens if the device fails?

Mechanical failure rates are 5–15% at 10 years; failed components are replaced under anaesthesia through a revision procedure. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Q: Will the device set off airport security?

The AMS 800 contains metal components and may trigger security scanners; patients carry a medical device identification card. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Implantable Device Restoring Urinary Control After Prostate Surgery

60–90 min PROCEDURE

1–2 Days HOSPITAL STAY

>85% SUCCESS RATE

6–8 Weeks RECOVERY

What is Artificial Urinary Sphincter — AMS 800 (males)?

The Artificial Urinary Sphincter AMS 800 is the gold-standard surgical treatment for moderate-to-severe male stress urinary incontinence, most commonly occurring after radical prostatectomy or radiation therapy. The device consists of a fluid-filled urethral cuff, a pressure-regulating balloon, and a control pump in the scrotum. By squeezing the scrotal pump, the patient deflates the cuff allowing urination; the cuff automatically re-inflates to maintain continence. The procedure is performed under general or spinal anaesthesia with a hospital stay of 1–2 Days. Success rates reach >85% in appropriately selected patients at experienced centres.

Men with moderate-to-severe stress urinary incontinence (>3 pads/day) after radical prostatectomy, radiation, or TURP, who have failed conservative management for at least 12 months. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Perineal Incision & Urethra Exposure

A perineal or scrotal midline incision is made depending on the implantation approach; bulbar urethra dissected free.

Cuff Sizing

A urethral cuff sizer is passed around the circumference of the urethra to determine the correct cuff size.

Cuff Placement

The correctly sized cuff is placed around the bulbar urethra with its tab pointing anteriorly.

Balloon & Pump Placement

The pressure-regulating balloon (61–70 cmH₂O) is placed in the retropubic space; scrotal pump positioned in the dependent scrotum.

Connection & Deactivation

All three components connected with kink-resistant tubing using snap connectors; device deactivated for 6 weeks allowing healing.

Outcomes

60–90 minDURATION

1–2 DaysHOSPITAL STAY

>85%SUCCESS RATE

6–8 WeeksFULL RECOVERY

Who Needs This Treatment?

→Men with post-radical-prostatectomy urinary incontinence that has not resolved after 12 months of conservative management.
→Those with post-radiation incontinence who have adequate urethral tissue for cuff placement.
→Patients with neurogenic bladder neck incompetence (spina bifida, spinal cord injury) causing severe leakage.
→Men who have had a failed urethral sling (AdVance or Virtue) requiring salvage treatment.
→Those with severe intrinsic sphincter deficiency not responsive to other treatments.
→Patients willing to perform the manual pump activation required for voiding.

"The AMS 800 artificial urinary sphincter is transformative for men with severe post-prostatectomy incontinence. In properly selected patients, it restores dignity and quality of life in a way no other treatment can match."

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

Common Questions

Frequently Asked

When can I use the AMS 800 after implantation?+

What happens if the device fails?+

Will the device set off airport security?+

Not sure which treatment is right for you?

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

WhatsApp Us ← Back to Treatments