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Sling implant


An artificial urinary sphincter implant, or AUS, is the standard treatment for moderate to severe stress urinary incontinence in men. It may be offered to you if you have previously had a sling implant for your stress incontinence, but it didn’t work.

Alternatively, your doctor may recommend this operation if other treatment options have a low chance of success.

Your doctor will inform you and discuss the risk of complications, mechanical failure, and the potential need for removal.

Before being offered this operation, your doctor will need to work out whether it will be effective. You may be asked to do a urodynamic test so your doctor can check how your lower urinary tract is working.

An artificial urinary sphincter implant operation involves putting a cuff around the urethra. An incision is made between the scrotum and the anus, and another one in the lower abdomen. A water-filled balloon, called a reservoir, is inserted under the lower abdominal muscles above the bladder. This inflates the cuff via a hand-controlled pump. The pump is placed beneath the skin, inside the scrotum, so it is accessible. The pump is hand-operated so that you can control it yourself in your everyday life.

Fig. 1: AUS implantation in the male lower urinary tract.
Artificial urinary sphincter implant operation