The AMS 800 is a device known as an “artificial urinary sphincter” that is placed completely inside the patient’s body to provide simple, discreet urinary control. The patient controls urination by squeezing and releasing a pump.
The AMS 800 has proven to be effective in treating incontinence, and is considered the gold standard by many urologists. When using this device, most patients are dry with only minor leaks or dribbles of urine, usually with strenuous exercise or exertion.
The AMS 800 is the gold standard treatment for men who are not ideally suited for a male sling. Those men who are best managed with a sling are those men who are dry at night, can interrupt their urinary stream when voided and who leak less than around 200- 250mls in a 24 hour period. For those with more severe leakages they are best managed with an artificial urinary sphincter. This device consists of three components: a cuff which is placed around the urethra, a pressure regulated balloon and a pump which is used to control the device. The procedure is performed under a general anaesthetic and usually lasts around 1 – 1.5 hours. The majority of men are admitted to hospital overnight only. The device is left deactivated or in the “off” position for 6 weeks. Patients are then reviewed in the clinic at that time, and the device activated.