Surgical Treatment for Women with SUI

AUS

Artificial Urinary Sphincter Implantation in Women

Artificial urinary sphincter implantation, or AUS, is a second-line treatment for moderate to severe stress urinary incontinence (SUI). With the help of a hand-controlled pump, the AUS allows you to control your bladder by compressing and releasing a cuff around the urethra.

The goal of the AUS is to reduce urine leakage during activities such as sneezing, coughing, laughing, or running. The AUS consists of an inflatable cuff which is placed around the urethra, a reservoir to hold urine, and a pump to control the cuff.

When should I consider AUS implantation?

Usually AUS is indicated in complex cases, after a previous surgical treatment to cure or improve SUI has failed. Your doctor may recommend it when other treatment options have a low chance of being successful.

The doctor will ask you to do a urodynamic test to make sure there are no contraindications for getting an AUS.

You have to be able to manually control the pump. Before the surgery is scheduled, the doctor or nurse will sit down with you to discuss how the device works and to make sure you feel comfortable using it.

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Read more about AUS implantation, how to prepare, and what to expect after the procedure. This section shows an illustration of AUS.

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