/)
/)
Artificial Urinary Sphincter · The Definitive Solution for Male Stress Incontinence in Bangkok
An artificial urinary sphincter (AUS) is an implanted device that restores continence in men with stress urinary incontinence · most commonly after prostate cancer surgery. The AUS uses a urethral cuff, a fluid reservoir, and a scrotal control pump to keep the urethra closed except when you actively choose to urinate. Over 85% of carefully selected men achieve complete or near-complete continence after AUS implantation.
Our solutions
Why patients choose Artificial Urinary Sphincter
What Our Patients Say
Male Surgery
The difference was night and day. I hadn’t felt a strong stream like that in years.
Wachirawit, 67
Male Surgery
I was nervous about surgery, but the relief was almost instant. Sleeping through the night feels incredible again.
Khom, 64
Book your consultation today.
/)
How to Prepare for Artificial Urinary Sphincter
Continence assessment
Pad-weight test, voiding diary, and cystoscopy to confirm stress incontinence and rule out other causes.Urethral evaluation
Cystoscopy and urodynamics confirm urethral integrity and bladder function · prior radiation or urethral stricture changes the surgical plan.Antibiotic prophylaxis
Targeted IV antibiotics before incision · infection of an implant is the most serious complication.Stop blood thinners
5-7 days before surgery only if cleared by your prescribing doctor.Pre-anesthesia assessment
Bloods, ECG, chest X-ray as indicated by age and comorbidities.Fast pre-surgery
No food or water for 6-8 hours before the procedure.
/)
What Happens During Artificial Urinary Sphincter
Anesthesia
General or spinal anesthesia.Perineal incision
Small incision in the perineum to access the bulbar urethra.Cuff placement
A precisely sized inflatable cuff is placed around the urethra · cuff size is measured intraoperatively.Reservoir placement
A pressure-regulating balloon reservoir is placed in the lower abdomen through a small lower-abdominal incision.Pump placement
The control pump is placed in the scrotum, on the side of your dominant hand.Activation
The device is left deactivated for 4-6 weeks to allow tissue healing. At a clinic visit, the device is activated and you’re trained on pump use.
/)
Explore Our Topics
About Artificial Urinary Sphincter
/)
Specialist Functional Urology
AUS implantation is a specialist procedure · outcomes depend on surgeon experience with the AMS 800 device, cuff sizing, and revision technique. Our team performs AUS regularly.
Pre-Op Continence Workup
We confirm the cause of incontinence before recommending AUS · for some men, male sling or PRO-ACT balloons are more appropriate than AUS.
Post-Implant Activation and Training
Patient training on pump operation is critical for long-term outcomes · we use structured activation visits and follow-up to ensure correct device use.
Private, Discreet Recovery
Confidential care, WhatsApp recovery support, English-language follow-up for international patients.
Frequently asked questions
When should I consider AUS?
AUS is indicated for men with moderate-to-severe stress urinary incontinence (more than 1-2 pads per day) that persists at least 12 months after prostatectomy or other lower-urinary-tract surgery, and has not responded to behavioral training or pelvic floor therapy. Mild incontinence is often better treated with male sling or PRO-ACT balloons.
How long until I’m continent after the surgery?
The device is activated 4-6 weeks after implantation to allow tissue healing. Continence is immediate once the device is activated and you’re trained on pump use.
What are the risks of an implant?
Most serious: infection of the implant (1-3%) · requires device removal and re-implantation after the infection clears. Mechanical failure: 5-10% over 5 years · revision surgery typically restores function. Urethral erosion: rare but serious.
How long does the device last?
Modern AMS 800 devices typically function for 10-15 years before revision. When mechanical failure occurs, revision surgery (replacement of a component) usually restores function.
How much does AUS cost in Bangkok?
Cost includes the implant device itself (significant cost), surgery, hospital admission, and follow-up activation visits. Book a consultation for a personalized quote that includes all components.
THE DEFINITIVE SOLUTION FOR MALE STRESS INCONTINENCE
THE DEFINITIVE SOLUTION FOR
MALE STRESS INCONTINENCE
/)