eMedicine Specialties > Urology > Incontinence

Artificial Urinary Sphincter: Multimedia

Author: Kamran P Sajadi, MD, Staff Physician, Division of Urology, Medical College of Georgia Health System
Coauthor(s): Martha K Terris, MD, FACS, Professor, Department of Surgery, Medical College of Georgia
Contributor Information and Disclosures

Updated: Dec 5, 2008

Multimedia

The artificial urinary sphincter (AMS 800) is com...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.
The artificial urinary sphincter (AMS 800) is com...

The artificial urinary sphincter (AMS 800) is composed of a pressure-balloon reservoir, an inflate-deflate cuff, and a miniature control pump.

The patient is placed in the dorsolithotomy posit...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.
The patient is placed in the dorsolithotomy posit...

The patient is placed in the dorsolithotomy position. A perineal incision has been made below the scrotum. The Colles fascia is being dissected off.

The bulbocavernosus muscle has been dissected off...Media file 3: The bulbocavernosus muscle has been dissected off. The bulbar urethra is exposed.
The bulbocavernosus muscle has been dissected off...

The bulbocavernosus muscle has been dissected off. The bulbar urethra is exposed.

The right-angle clamp is passed behind the bulbar...Media file 4: The right-angle clamp is passed behind the bulbar urethra.
The right-angle clamp is passed behind the bulbar...

The right-angle clamp is passed behind the bulbar urethra.

The measuring tape is passed around the bulbar ur...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.
The measuring tape is passed around the bulbar ur...

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.

The artificial urinary sphincter cuff is passed&#...Media file 6: The artificial urinary sphincter cuff is passed—the tab end first—around the urethra. The cuff is snapped into place.
The artificial urinary sphincter cuff is passed&#...

The artificial urinary sphincter cuff is passed—the tab end first—around the urethra. The cuff is snapped into place.

The tab of the artificial urinary sphincter cuff ...Media file 7: The tab of the artificial urinary sphincter cuff is rotated dorsally.
The tab of the artificial urinary sphincter cuff ...

The tab of the artificial urinary sphincter cuff is rotated dorsally.

The cuff is seated in an excellent position. The ...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.
The cuff is seated in an excellent position. The ...

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.

The perineal incision is being closed. The Colles...Media file 9: The perineal incision is being closed. The Colles fascia is closed. The skin is closed next.
The perineal incision is being closed. The Colles...

The perineal incision is being closed. The Colles fascia is closed. The skin is closed next.

The balloon reservoir has been placed into the su...Media file 10: The balloon reservoir has been placed into the subrectus space, and the control pump has been inserted into the right hemiscrotum because the patient is right-handed. The cuff, pump, and reservoir are all connected.
The balloon reservoir has been placed into the su...

The balloon reservoir has been placed into the subrectus space, and the control pump has been inserted into the right hemiscrotum because the patient is right-handed. The cuff, pump, and reservoir are all connected.

More on Artificial Urinary Sphincter

Overview: Artificial Urinary Sphincter
Workup: Artificial Urinary Sphincter
Treatment: Artificial Urinary Sphincter
Follow-up: Artificial Urinary Sphincter
Multimedia: Artificial Urinary Sphincter
References

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

Contributor Information and Disclosures

Author

Kamran P Sajadi, MD, Staff Physician, Division of Urology, Medical College of Georgia Health System
Kamran P Sajadi, MD is a member of the following medical societies: American Urological Association, Endourological Society, and Southern Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Martha K Terris, MD, FACS, Professor, Department of Surgery, Medical College of Georgia
Martha K Terris, MD, FACS is a member of the following medical societies: American Cancer Society, American College of Surgeons, American Institute of Ultrasound in Medicine, American Urological Association, New York Academy of Sciences, and Society of University Urologists
Disclosure: Nothing to disclose.

Medical Editor

Edward David Kim, MD, FACS, Professor of Surgery, Division of Urology, University of Tennessee Graduate School of Medicine; Consulting Staff, University of Tennessee Medical Center
Edward David Kim, MD, FACS is a member of the following medical societies: American College of Surgeons, American Society for Reproductive Medicine, American Society of Andrology, American Urological Association, and Tennessee Medical Association
Disclosure: Lilly Consulting fee Consulting; Astellas Consulting fee Speaking and teaching; Indevus Consulting fee Speaking and teaching

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Shlomo Raz, MD, Professor, Department of Surgery, Division of Urology, University of California at Los Angeles School of Medicine
Shlomo Raz, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, American Urological Association, and California Medical Association
Disclosure: Nothing to disclose.

CME Editor

J Stuart Wolf Jr, MD, FACS, David A Bloom Professor of Urology, Director of Division of Minimally Invasive Urology, Department of Urology, University of Michigan
J Stuart Wolf Jr, MD, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Catholic Medical Association, Endourological Society, Society for Urology and Engineering, Society of Laparoendoscopic Surgeons, Society of University Urologists, and Society of Urologic Oncology
Disclosure: Terumo Corporation Consulting fee Consulting; Omeros Corporation Consulting fee Consulting

Chief Editor

Edward David Kim, MD, FACS, Professor of Surgery, Division of Urology, University of Tennessee Graduate School of Medicine; Consulting Staff, University of Tennessee Medical Center
Edward David Kim, MD, FACS is a member of the following medical societies: American College of Surgeons, American Society for Reproductive Medicine, American Society of Andrology, American Urological Association, and Tennessee Medical Association
Disclosure: Lilly Consulting fee Consulting; Astellas Consulting fee Speaking and teaching; Indevus Consulting fee Speaking and teaching

 
 
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