Artificial Urinary Sphincter (AUS) Placement

Restoring Control and Confidence

Understanding Artificial Urinary Sphincter (AUS) Placement

An artificial urinary sphincter (AUS) is a small, implanted device that restores urinary control for men experiencing leakage after prostate surgery, trauma, or prior reconstruction. Urinary incontinence can affect confidence, relationships, and quality of life, and for many men, the AUS is the gold-standard solution when conservative treatments no longer work. The specialists at The Institute for Advanced Reconstruction are able to successfully perform AUS implantation, even in complex revision cases.

The AUS mimics the body’s natural urinary control mechanism through three internal components:

A cuff placed around the urethra to keep it closed,
A small pump placed discreetly in the scrotum, and
A fluid reservoir implanted inside the abdomen.

When you’re ready to urinate, press the pump, opening the cuff and allowing urine to pass normally. After a few minutes, the cuff automatically refills, restoring continence.

Our surgeons perform AUS placement using advanced nerve-preserving techniques, ensuring comfort, safety, and natural function.

Why Artificial Urinary Sphincter (AUS) Placement May Be Right for You

AUS placement is typically recommended for men who have:

Urinary incontinence after prostatectomy or radiation therapy
Sphincter damage from trauma or prior surgery
Failed sling procedures or other incontinence treatments
Moderate to severe leakage despite medication or behavioral therapies

Our surgeons often see patients who have been told nothing else can be done and help them regain control through this proven, long-term solution.

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How Artificial Urinary Sphincter (AUS) Placement Works

AUS implantation is performed under anesthesia, typically as an outpatient or overnight-stay procedure.

Precision Implantation: The surgeon places the cuff around the urethra, the pump in the scrotum, and the reservoir in the lower abdomen.
Connection: The components are connected using precise techniques to ensure durability and comfort.
Activation: After a brief healing period (usually 4–6 weeks), the device is activated, giving patients full control of urinary function.

The procedure typically takes 1–2 hours, and most patients return to light activities within a week.

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Our Expertise in Artificial Urinary Sphincter (AUS) Placement

As a global leader in reconstructive urology, The Institute combines advanced surgical skills with compassionate care to achieve lasting results.

Why Patients Choose The Institute

Extensive experience in post-prostatectomy and revision AUS placement
Nerve-sparing techniques to preserve sexual function
Personalized rehabilitation and follow-up care
Proven outcomes published in leading medical journals

What to Expect After Surgery

Hospital Stay: Same-day discharge or 23-hour stay
Recovery: Light activity within a week; full recovery and activation in 4–6 weeks
Results: Most patients experience complete symptom relief within months

Our team provides clear guidance on post-operative care, follow-up imaging, and long-term monitoring to ensure lasting results.

Meet the Team

Our reconstructive urology specialists are experienced in restoring both function and form for patients with complex scrotal conditions. Every procedure is approached with precision, empathy, and long-term outcomes in mind.

Physician

Alex Xu

Frequently Asked Questions About Artificial Urinary Sphincter (AUS) Placement

How long does an AUS typically last, and will I ever need a revision?

Most devices function reliably for many years, but mechanical components may eventually wear out or require replacement. Many patients can expect 7–10 years of use before any revision is needed.

What does it feel like to use the pump in everyday life?

Most men adapt quickly, and activating the pump becomes a discreet, routine motion that feels natural over time. Patients frequently report that it becomes second nature, improving their confidence in daily activities and social settings.

Can I exercise, travel, or return to normal physical activities with an AUS?

Yes, most daily activities, including exercise, work, and travel, are safe after healing. Your surgeon will provide specific guidance on timing, but long-term, the AUS should not limit an active lifestyle.

Can I go through airport security or have MRIs or other imaging tests with an AUS?

Airport scanners do not usually detect or interfere with the device, and AUS systems are generally MRI-conditional, meaning most imaging studies can be safely performed with proper disclosure to radiology staff.

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