This information what an artificial urinary sphincter (AUS) is and the surgery to have it placed. Show
About Your Urinary SphincterYour urinary sphincter is a muscle that controls the flow of urine (pee) out of your bladder (see Figure 1). When your urinary sphincter is contracted (closed), it blocks the opening of your bladder so urine doesn’t leak out. Figure 1. Urinary sphincter Normally, your urinary sphincter stays contracted until you choose to relax (open) it to urinate (pee). When you relax your urinary sphincter, urine leaves your bladder and flows through your urethra (the tube that carries urine from your bladder out of your body) and out of your body . Some people have trouble controlling their urinary sphincter. This causes them to leak urine. This can happen after surgery to remove the prostate or radiation therapy to the prostate. You may need an artificial urinary sphincter (AUS) if you lose control of your urinary sphincter. Back to topAbout Artificial Urinary SphinctersAn AUS is a device that works like your natural urinary sphincter (see Figure 2). An AUS is made up of 3 parts: Figure 2. Artificial urinary sphincter (AUS)
To urinate with an AUS, you must squeeze the pump in your scrotum. The pump moves fluid from the urethral cuff into the balloon, allowing the cuff to open or deflate and your urethra to open. Your cuff stays open for about 3 minutes so that you can urinate. The cuff will close automatically. An AUS is placed during a surgery. Risks associated with having an AUSAlthough not common, the following problems can occur:
About Surgery to Place an AUSYour healthcare provider will give you information about how to get ready for your surgery. Be sure to follow their instructions. Call your doctor’s office if you have any questions. During surgeryYou’ll get anesthesia (medication to make you sleep) before your surgery. Once you’re asleep, your surgeon will make 2 small incisions (surgical cuts):
Your surgeon will then place your AUS. Once the surgery is done, your incisions will be closed with sutures (stitches) that will dissolve on their own and won’t need to be removed. After surgeryIn the hospitalYou will wake up in the Post Anesthesia Care Unit (PACU). You will have a catheter and other medical devices connected to your body after your surgery, including:
These devices are usually removed before you leave the hospital. If you will leave the hospital with any of them in place, your healthcare provider will teach you how to care for them. Your urine may leak from your AUS after your surgery. This is normal and will stop once the AUS has been activated by your doctor about 6 to 8 weeks after your surgery. Call your doctor’s office to make a follow-up appointment for about 2 weeks after your visit. Order MedicAlert® jewelryBefore you leave the hospital or at your first follow-up visit, order a MedicAlert® bracelet or necklace. Your healthcare provider will give you an order form. Your bracelet or necklace should state the following information: AUS: Artificial Urinary Sphincter MedicationsYou may get prescriptions for the following medications before you go home:
You will be able to go home the day after your surgery. At homeYou can shower 48 hours after your surgery. If you have any bandages, remove them when you shower. You don’t need to put more bandages on your incisions after you shower. If your bandages fall off or get dirty in the first 48 hours after your surgery, replace them with clean bandages. Wear a scrotal supportFor the first week after your surgery, you must wear the scrotal support that you received before you left the hospital. If the scrotal support gets wet, you will need to replace it. You can buy another scrotal support at any drug or surgical supply store. Resuming your normal activitiesYou can go back to doing most of your normal activities the day after your surgery. You will need to wait 6 weeks to do any strenuous activities, such as:
Your doctor will tell you when you can resume sexual activity. Make a follow-up appointmentSee your doctor 2 weeks after your surgery. Call your doctor’s office to make the appointment. Back to topWhen to Call Your Healthcare ProviderCall your healthcare provider if you have:
What is the new opening of the urinary bladder to the outside of the body?Urethra. This tube allows urine to pass outside the body.
What is the surgical creation of an artificial opening between the kidney and the body surface to temporarily drain urine?A ureterostomy is a surgery to create a urinary diversion (a change in the path by which urine leaves the body). In a ureterostomy, the urine bypasses the bladder and exits the body through a stoma—a surgically created opening—and collects into a pouch worn outside the body.
What is the creation of an artificial opening into the kidney?Nephrostomy – stomy is creation of an artificial opening, neph/o is kidney; so a nephostromy is a creation of an artificial opening into the kidney.
What is the surgical creation of an opening into the urinary bladder?Cystostomy is the general term for the surgical creation of an opening into the bladder; it may be a planned component of urologic surgery or an iatrogenic occurrence.
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