Artificial Urinary Sphincter Implant Urologist - Dr. Angelo Gousse, MD

Artificial urinary sphincter implants can help men avoid urinary incontinence after prostate surgery or trauma to the urinary sphincter. At Bladder Health & Reconstructive Urology Institute, Angelo Gousse, MD, has more than 25 years of experience and advanced training in urologic reconstruction to help relieve incontinence symptoms and improve your quality of life. With locations in Aventura, Miramar and West Palm Beach, Florida, Dr. Gousse and his team provide unparalleled care and dedication to their patients for all of their urology needs. To schedule a visit, call the office nearest you or book online today.

Artificial Urinary Sphincter Implant Q & A

An artificial urinary sphincter (AUS) implant is a surgical device that can be implanted to reduce urinary incontinence in men. It’s considered the gold standard treatment for urinary incontinence after prostate cancer treatment, which may damage the urinary sphincter and lead to incontinence, or urinary leakage.

In most cases, urinary incontinence after prostate surgery resolves within one year. However, long-term urinary incontinence can cause emotional and physical distress, necessitating additional treatment.

Dr. Gousse may recommend an AUS implant if you’ve undergone physical therapy, medications, and at-home care strategies to avoid urine leakage without success. In order to determine if an implant is right for you, Dr. Gousse begins with a series of diagnostic tests to determine the type of incontinence you’re experiencing.

Types of tests may include:

  • Cystoscopy
  • Bladder capacity measurements
  • Urodynamics
  • Disease and cancer screenings

Certain health factors may make recovery after surgery difficult, including diabetes, anticoagulant therapy, and coronary artery disease. If you have any of these health issues, Dr. Gousse may recommend alternative treatment options.

An AUS consists of three parts: a cuff around the urethra, a pump inside the scrotum, and a balloon that holds fluid for the device. When you want to urinate, you squeeze the pump, which releases pressure from the cuff around the urethra. 

While the cuff is open, you’re able to urinate until the cuff closes automatically in three to five minutes. The fluid in the balloon maintains the hydraulic pressure necessary for the pump to function properly.

While you’re under local or general anesthesia in the hospital, Dr. Gousse makes two small incisions in the groin area and between your scrotum and rectum. Dr. Gousse places the properly sized cuff around your urethra and passes tubing for the pump into your groin area.

Dr. Gousse then places the pressure-regulating balloon behind your abdominal muscles and the pump into your scrotum. He connects the attachments to all portions of the implant and ensures it functions properly before closing your incisions. The cuff is locked open for 4-6 weeks until you recover.

The surgery lasts about an hour, and you can typically return home the same day. Recovery takes 2-3 weeks, and your device is activated without surgery in the office within 4-6 weeks.

To learn more about artificial urinary sphincter implants, book a visit online at Bladder Health & Reconstructive Urology Institute or call now.

When men injure their urinary sphincter or undergo prostate cancer surgery, they usually develop urinary incontinence afterward. It is a condition where the person loses control of their bladder, which means they cannot control their urination. A simple sneeze or cough could make them urinate randomly and uncontrollably.

The solution is an artificial urinary sphincter that gets surgically implanted to help the man gain control of their bladder functions again. Most men who’ve undergone prostate surgery will only need to deal with urinary incontinence temporarily. It all depends on the severity of their prostate cancer and the extent of the surgery required.

Gousse Urology is a trusted urology clinic in South Florida. Dr. Angelo Gousse has been one of the leading urologists of this region for the last 25 years. He is an expert in all fields of urology, including artificial urinary sphincter implantation. If you’ve lost control of your urinary functions, then you should book an appointment to see Dr. Gousse at one of his three South Florida clinics.

We have offices in West Palm Beach, Miramar, and Miami. If you’d like to make an appointment or ask further questions about our services, you can call us at (305) 606-7028 or contact us here.

Find Out Your Eligibility

During your first consultation with Dr. Gousse, he will examine your current physical condition. If you’ve unsuccessfully tried alternative treatments for your urinary leakage issue, such as medications and physical therapy, then a series of diagnostic tests will need to be done.

The tests include cystoscopy, urodynamics, bladder capacity measurements, and disease and cancer screenings. There is more than one possible cause of urinary incontinence, which is why multiple types of diagnostic tests are necessary. Once Dr. Gousse finds out the cause of your urinary incontinence, he’ll have a better idea of whether an artificial urinary sphincter implantation procedure is right for you.

You Can Trust Dr. Gousse

Dr. Gousse has spent over two decades building his reputation as a reconstructive urologist and physician in South Florida. After establishing the Bladder Health & Reconstructive Urology Institute, the demand for his urology treatments and procedures had skyrocketed. Not only that, but he offers his medical advice and expertise to other urologists in his field.

You can trust Dr. Gousse in performing your artificial urinary sphincter implant procedure. He takes all the necessary safety precautions and planning needed to perform the procedure flawlessly. Dr. Gousse received his education from York College in Queens, Yale School of Medicine, Baylor College of Medicine, and the University of California. His training spans across the entire country. Urology research journals have published his work over 70 times because of his unique and innovative contributions to urology.

Before Dr. Gousse performs the artificial urinary sphincter implantation procedure, you’ll be given a local or general anesthetic so that you don’t feel any pain or discomfort. Dr. Gousse will proceed by making two tiny incisions in the space between your rectum and scrotum. The implantation of the artificial sphincter device takes about an hour to complete.

When the procedure is over, you can go home without having to stay overnight. However, please expect the full recovery time to take between 2 and 3 weeks. You’ll be asked to take it easy during that time by not doing anything to strain your groin area.

Contact Us Today

Are you ready to book an appointment for a consultation in West Palm Beach, Miramar, or Miami? If so, you can call us at (305) 606-7028 or contact us here with your inquiry or questions. We treat all patients with absolute respect and discretion. No one is ever embarrassed or discriminated against at our offices.