eMedicine Specialties > Urology > Incontinence
Artificial Urinary Sphincter: Multimedia
Updated: Dec 5, 2008
Multimedia
![]() | Media file 1: The artificial urinary sphincter (AMS 800) is composed of a pressure-balloon reservoir, an inflate-deflate cuff, and a miniature control pump. |
![]() | Media file 2: The patient is placed in the dorsolithotomy position. A perineal incision has been made below the scrotum. The Colles fascia is being dissected off. |
![]() | Media file 3: The bulbocavernosus muscle has been dissected off. The bulbar urethra is exposed. |
![]() | Media file 4: The right-angle clamp is passed behind the bulbar urethra. |
![]() | Media file 5: The measuring tape is passed around the bulbar urethra. The bulbar urethra measures 4.5 cm; thus, a 4.5-cm cuff is chosen for implantation. |
![]() | Media file 6: The artificial urinary sphincter cuff is passed—the tab end first—around the urethra. The cuff is snapped into place. |
![]() | Media file 7: The tab of the artificial urinary sphincter cuff is rotated dorsally. |
![]() | Media file 8: The cuff is seated in an excellent position. The tubing from the cuff is passed up to the suprapubic wound, where it is connected to the control pump. |
![]() | Media file 9: The perineal incision is being closed. The Colles fascia is closed. The skin is closed next. |
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| Follow-up: Artificial Urinary Sphincter |
Multimedia: Artificial Urinary Sphincter |
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References
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Further Reading
Keywords
artificial urinary sphincter, AUS, artificial sphincter, AMS 800, artificial genitourinary sphincter, prosthetic sphincter, incontinence, stress incontinence, urge incontinence, post-prostatectomy incontinence, postprostatectomy incontinence, stress urinary incontinence, urinary sphincter, type III stress urinary incontinence, intrinsic sphincter deficiency, ISD, incompetent urethra, intrinsic sphincteric dysfunction, intrinsic sphincter dysfunction




















Multimedia: Artificial Urinary Sphincter