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Robotic Artificial Urinary Sphincter Implantation

Robot-assisted placement of an AMS-800 device for severe stress urinary incontinence after prostatectomy.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Robotic Artificial Urinary Sphincter Implantation?

Artificial urinary sphincter (AUS), most commonly the AMS-800, is the gold standard for severe male stress urinary incontinence — predominantly after radical prostatectomy or radiation therapy. The device consists of an inflatable urethral cuff, scrotal pump, and pressure-regulating reservoir. Robotic-assisted laparoscopic implantation is an emerging alternative to traditional open perineal placement, particularly for transcorporal cuff placement in radiation-treated or revision cases.

The robotic approach allows precise anatomic dissection of the bulbar urethra with magnified three-dimensional vision, lower bleeding, reduced postoperative pain, and accurate cuff sizing. It is particularly valuable in challenging anatomy such as previous radiation, prior AUS revision, urethral stricture repair, or transcorporal placement, where bulky cuffs benefit from corporal cavernosa traversal.

Postoperative activation typically occurs at 4-6 weeks after device implantation. Continence rates exceed 80% with proper patient selection. Complications include urethral atrophy, cuff erosion, infection, and mechanical failure requiring revision. Long-term reoperation rates approach 25% over 10 years. Patient counseling regarding device manipulation, infection precautions, and gradual sexual rehabilitation is essential.

Symptoms

Severe stress urinary incontinence post-prostatectomy
Persistent incontinence after radiation therapy
Failed conservative therapy (pelvic floor exercises)
Failed sling procedure
Need for daily pad use (more than 3 pads)
Quality-of-life impairment
Recurrent incontinence after AUS revision

Risk Factors

History of radical prostatectomy
Pelvic radiation therapy
Previous urethral surgery
Diabetes mellitus (infection risk)
Obesity
Prior AUS infection or erosion
Patient with poor manual dexterity

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Severe persistent incontinence after prostatectomy
  • Inadequate response to pelvic floor rehabilitation
  • Pad use > 3-5 daily
  • Recurrent incontinence after sling procedure
  • Erosion symptoms (pain, bleeding, recurrent UTI)
  • Mechanical device malfunction

Treatment Methods

01
Robotic-assisted laparoscopic AUS implantation
02
Cuff size determination and tension adjustment
03
Reservoir placement in retropubic space
04
Activation 4-6 weeks postoperatively
05
Patient education on device manipulation
06
Antibiotic prophylaxis
07
Long-term urological follow-up

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.