Artificial Urinary Sphincter: Patient Selection and Surgical Technique

  • Joseph J. PariserEmail author
  • Andrew J. Cohen
  • Alexandre M. Rosen
  • Gregory T. Bales


The artificial urinary sphincter (AUS) remains the gold standard for the treatment of male stress urinary incontinence and is associated with high satisfaction and low complication rates. Several revisions have been made to the initial designs leading to the current model, the AMS-800 (American Medical Systems, Minnetonka, MN) released in 1983. There have been a few additional modifications since that time as the technology has matured. Refining of the device, as well as surgeon experience, have allowed for consistency in clinical practice and improved outcomes. There are critical aspects of the preoperative workup for any patient considering AUS. Additionally, the surgical procedure itself and management of complications have been studied. In summary, the artificial urinary sphincter is a success story, and this chapter will focus on the essential aspects of patient selection and operative technique.


Artificial urinary sphincter Incontinence Management Surgical technique Patient selection 


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Joseph J. Pariser
    • 1
    Email author
  • Andrew J. Cohen
    • 1
  • Alexandre M. Rosen
    • 2
  • Gregory T. Bales
    • 1
  1. 1.Section of UrologyUniversity of Chicago MedicineChicagoUSA
  2. 2.Specialists in UrologyNaplesUSA

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