You will typically be asleep (general anesthesia) for this procedure. Spinal anesthesia can also be used to block nerve response to pain.
Steps:
- The bladder is emptied. The surgeon will insert a catheter to make sure that your bladder is completely empty during surgery.
- Incisions are made. An incision is made between the scrotum and the anus to place the cuff around the urethra, and another one in the lower abdomen to insert the reservoir.
- The AUS is placed. The cuff is placed around the urethra. Finally, the pump is positioned in the scrotum without any other incision and is connected to the other two elements of the device.
The cuff is left open until the doctor activates it a few weeks later in the outpatient clinic.
Fig. 1: AUS implantation in the male lower urinary tract.
Fig. 2: AUS implantation in the male lower urinary tract. Open Cuff
Artificial Urinary Sphincter Types
ContiClassic®
Rigicon® ContiClassic® Artificial Urinary Sphincter is used to treat urinary incontinence due to intrinsic sphincter deficiency in cases such as incontinence following prostate surgery.1
ContiReflex®
ContiReflex® Enhanced Artificial Urinary Sphincter‘s smart “Reflex Balloon” senses changes in intraabdominal pressure (IAP) and, in response, modifies the pressure on the urethra in response to this change in IAP.
