Artificial Urinary Sphincter Newcastle
For men with significant and persistent stress incontinence, most often after prostate surgery, the artificial urinary sphincter is widely regarded as the gold-standard solution. A small implanted device restores the bladder’s natural seal and gives reliable control back to men who feel it has been lost.
What is an artificial urinary sphincter?
An artificial urinary sphincter, often abbreviated to AUS, is a fully implanted device that replaces the function of the body’s natural urinary sphincter. The sphincter is the muscle that keeps the urethra closed until you choose to pass urine.
In men, stress incontinence most commonly follows prostate surgery, particularly after treatment for prostate cancer. When the natural sphincter has been weakened, the AUS restores a controlled seal.
The device has three internal components:
- A soft fluid-filled cuff that sits around the urethra and keeps it gently closed
- A small control pump placed in the scrotum
- A pressure-regulating balloon positioned in the lower abdomen
To pass urine, you squeeze the pump. This temporarily opens the cuff so you can empty your bladder normally. The cuff then automatically refills and closes again within a few minutes.
All components are inside the body. Nothing is visible externally.
For men with more severe stress incontinence, no other treatment matches the reliability of the artificial urinary sphincter.
A seal you control
The artificial urinary sphincter restores control through a simple and mechanical process.
The cuff
A soft fluid-filled ring around the urethra provides a gentle and constant seal.
The pump
A small pump in the scrotum allows you to open the cuff when you wish to pass urine.
Automatic re-closing
After you empty your bladder, the cuff refills automatically and re-establishes the seal. The system is designed to be simple to use and discreet in daily life.
Who an artificial urinary sphincter may suit
An AUS may be recommended for men who:
- Have moderate to severe stress incontinence
- Have persistent leakage after prostate surgery
- Have not improved sufficiently with pelvic floor rehabilitation
- Have adequate hand function to operate the pump
- Have been assessed as suitable by a consultant urologist
Urodynamic testing is often used to confirm the type and severity of leakage before recommending surgery.
What to expect
- Assessment
Your consultant confirms the pattern and severity of incontinence and discusses day-to-day life with the device. Investigations such as urodynamics may be arranged. - The operation
The artificial urinary sphincter is implanted under anaesthetic. All components are placed internally. A short hospital stay is usual. - Activation and life with the device
The device remains deactivated for around four to six weeks while tissues heal. It is then activated during a clinic visit. From that point, you control urination using the pump.
Why choose The Forbury Clinic for artificial urinary sphincter surgery in Newcastle?
The most effective option
For severe male stress incontinence, the AUS remains the benchmark treatment.
Reliable control
Most men achieve dryness or near-dryness and regain confidence in daily life.
Discreet by design
Fully implanted with no external components visible.
Long-term track record
The artificial urinary sphincter has been used for decades with well-documented long-term outcomes.
From diagnosis to durable control
Assessment confirms that stress incontinence is the primary issue and that less invasive treatments have not provided sufficient improvement.
Not every man with leakage requires an artificial urinary sphincter. Pelvic floor rehabilitation and, in some cases, a male sling may be suitable for milder symptoms.
For more severe or persistent leakage, the AUS offers the most durable and reliable option.
Frequently asked questions
Is the operation major surgery?
It is a planned operation under anaesthetic with a short hospital stay. Recovery takes several weeks before activation.
Will others know I have it?
No. All parts of the device are internal. The control pump is discreet and not visible.
Will I be completely dry?
Most men become dry or require only a small precautionary pad. Your consultant will provide realistic expectations based on your individual situation.
How long does the device last?
Many devices function well for years. Over time components may require revision or replacement which will be discussed before surgery.
Should I try other treatments first?
Usually yes. Pelvic floor rehabilitation is the standard first step. A male sling may be suitable for milder leakage. The AUS is recommended when other options have not been enough.
Book your urology consultation today
Consultations are available to book online for patients with or without a GP referral. Our private specialists provide world-class care in a discrete environment.
- AppointmentBook a consultation
- Reception01189207055
- Location
The Beverley Hospital, The Edge, Fifth Ave, Team Valley, Gateshead NE11 0XA
