The artificial urethral sphincter (AUS) is an effective treatment for men suffering from stress urinary incontinence (SUI).
Understanding Stress Urinary Incontinence
SUI involves the involuntary leakage of urine during physical activities like sneezing, coughing, laughing, or moving. This condition can significantly affect daily life, leading to emotional distress, relationship issues, and financial strain.
Risk Factors for SUI
Damage to the internal and external sphincters can cause SUI in men. The most common cause is a radical prostatectomy. Other causes include pelvic fracture urethral injury (PFUI), radiation, congenital issues, pelvic surgery, transurethral prostate surgery for benign conditions, and various traumatic or acquired spinal cord injuries. While SUI is relatively rare in the general male population, it is more common among men who have had a prostatectomy.
Diagnosing and Evaluating SUI
Diagnosis begins with a thorough review of the patient’s medical history and a physical examination. The physician may recommend a pad weight test and a voiding diary to assess incontinence severity and bladder function. This diary tracks bladder capacity, urination frequency, and incontinence episodes. Evaluating bladder function is crucial, especially for patients with neurological conditions or a history of pelvic radiation.
During the physical exam, the physician will check for inguinal hernias, prior surgical incisions, and the condition of the perineal or groin skin. A standing test might also be performed. Patients should have a urinalysis and culture before surgery. Urodynamic testing (UDS) may be conducted to evaluate bladder function, stability, and capacity, providing valuable insights, particularly for patients with prior radiation, incontinence treatment, voiding dysfunction, or surgeries.
Before surgery, a cystoscopy is required to detect any obstructive lesions or bladder issues and to visualize the external sphincter.
Surgery for SUI
An artificial urethral sphincter may be recommended for men with SUI. This device includes three parts:
- A fluid-filled cuff placed around the urethra
- A pressure-regulating balloon inserted into the abdomen
- A pump placed in the scrotum
The fluid-filled cuff keeps the urethra closed to prevent leaks. Pressing the pump moves the fluid from the cuff to the balloon, opening the urethra for urination. After urination, the balloon automatically refills the cuff within one to three minutes.
AUS surgery can effectively treat or significantly improve urinary control in over 70% of men with SUI, although prior radiation, other bladder conditions, and urethral scar tissue may affect outcomes.
Choose UCI Pelvic Health Center for Artificial Urethral Sphincter Treatment
If you are struggling with stress urinary incontinence (SUI), the UCI Pelvic Health Center can provide relief with the advanced treatment of an artificial urethral sphincter (AUS). Our expert team specializes in diagnosing and treating SUI, offering personalized care to restore your urinary control and improve your quality of life.
An AUS can significantly reduce or eliminate urine leakage, helping you regain confidence and comfort. At UCI Pelvic Health Center, we use the latest technology and surgical techniques to ensure the best possible outcomes.