Artificial Urinary Sphincter (AUS) Surgery
What is an AUS?
An artificial urinary sphincter is a device that is surgically placed to help with urinary incontinence. The device is filled with saline and uses the fluid to open and close a cuff surrounding the urethra. When you need to urinate, you squeeze and release the pump in the scrotum several times to remove fluid from the cuff. When the cuff is empty, urine can flow out of the bladder. The cuff automatically refills in a few minutes squeezing the urethra closed to restore bladder control, mimicking natural urinary control. This surgery is a good option for men with adequate dexterity who are not able to control their incontinence with less invasive methods.
Surgeon: Lucas Wiegand
Office number: 877-876-3627
Post-operative instructions – artificial urinary sphincter (Boston Scientific/AMS 800)
1. Wear medic alert bracelet. The postop nurse should provide you with this bracelet. No urethral catheters! This can permanently damage your urethra and sphincter. Your device may have to be removed and may never be able to be replaced!
2. No penile clamps or condom catheters. It is ok to have the incisions wet with urine.
3. Unless otherwise noted, you will follow up for the device to be activated.
4. Drink a normal amount of fluid.
5. Do not pick at or remove the glue over the incisions.
6. Call if unable to void.
7. Call if wound drainage. You will need to send a picture or come to the office for evaluation.
8. You may shower tomorrow.
9. No strenuous activity or lifting >10lbs for 4 weeks.
10.Antibiotics and/or pain medications have been sent to your local pharmacy. Please take all the antibiotics.
11.Please keep any cards/papers/information given to you by the Boston Scientific representative. More information on your device can be found here: https://www.bostonscientific.com/en-US/products/artificial-urinary-sphincter/ams-800-artificial-urinary-sphincter.html
12.The artificial sphincter is MRI-conditional. This means that you can have an MRI, but the imaging center will want to see the information about your device. More information can be found here: https://www.mrisafety.com/TMDL_view.php?editid1=6160