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Artificial Urinary Sphincter (AUS) Implantation

Artificial urinary sphincter (AUS) is an implanted Surgery cost in India

Surgery Name	Cost	Room-Category	Hospitalization
artificial sphincter implantation for urinary incontinence	12500 USD	2 days	Semi Private
Inclusion		Exclusion
Room tariff (for the specified period) Surgeon's fees O.T. charges Anesthesia charges Basic Investigations related to the surgery.		Overstay more than package days Additional charges in case of inter-disciplinary consultations Additional procedure costs Use of special drugs/ consumables/ blood components (Specific to the treatment).

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What is Artificial Urinary Sphincter (AUS) Surgery?

If you are struggling with urine leakage that affects your daily life — your ability to work, travel, or sleep without worry — you are not alone. Millions of people worldwide live with this condition, and the AUS implant is considered the single most effective long-term solution available today

Artificial Urinary Sphincter — Your complete guide as a patient

This guide explains what the AUS implant is, who needs it, how the surgery is done in India, what the recovery feels like, and what results you can expect. It is written in plain language so you can make a fully informed decision before you travel.

What is it?

A small device that acts as your natural sphincter

Your urinary sphincter is the muscle that keeps urine inside your bladder until you choose to go. If this muscle is weak or damaged, urine leaks out — sometimes with every step, cough, or movement.The AMS 800™ is a small, fully implanted device made of soft silicone that takes over the job of your damaged sphincter. It has three parts connected by thin tubes, all hidden inside your body. No one can see it. No bag. No catheter. You control when you urinate by pressing a small pump placed under the skin of your scrotum (men) or inner labia (women).

Who is it for?

People with stress urinary incontinence

Most commonly needed after:

Prostate cancer surgery (radical prostatectomy)
Prostate radiation therapy
TURP or other prostate procedures
Pelvic surgery or trauma
Childbirth injury in women
Neurological conditions (spinal cord injury, spina bifida)

You may be a good candidate if:

Pads, physiotherapy, and medication have not helped
Leakage significantly affects your quality of life
You leak on effort, coughing, or movement

The 3 componentsAll implanted inside — nothing outside your body

Occlusive cuff — placed around your urethraThis fluid-filled silicone ring wraps around the urethra and squeezes it gently closed, preventing urine from leaking. It stays inflated all the time by default — meaning you are always continent unless you actively choose to urinate.

Pressure regulating balloon — placed near your bladderThis small fluid reservoir acts like a storage tank, maintaining constant hydraulic pressure that keeps the cuff inflated. It is placed through a small incision near your bladder and you will never feel it once healed.

Control pump — placed in your scrotum or labiaThis soft, squeeze-able pump is the only part you interact with. When you want to urinate, you squeeze and release the pump. Fluid moves from the cuff to the balloon, the cuff opens, and you can pass urine normally. After 3–5 minutes, the system refills automatically and the cuff closes again.

In simple terms: Squeeze the pump ? cuff opens ? urinate freely ? cuff automatically closes again in 3–5 minutes. That is all there is to it.

Why India?World-class care at a fraction of Western costs

80–85% lower cost than the UK or USAThe same AMS 800™ implant surgery costs $60,000–$90,000 in the USA and £35,000–£50,000 in the UK. In India the all-inclusive cost is approximately $12,500 USD, without compromising on device quality or surgeon expertise.

JCI and NABH-accredited hospitalsTop hospitals in Delhi, Mumbai, Chennai, and Hyderabad are internationally accredited and equipped with the same technology used in Western centres — including robotic surgical suites and dedicated urology wings.

Highly experienced urologistsIndia's top reconstructive urologists have each performed 300–500+ AUS procedures. Many were trained at leading centres in the USA, UK, and Europe. English is widely spoken throughout the care team.

No waiting listsIn public health systems like the NHS, the wait for AUS surgery can be 12–24 months. In India, surgery is typically available within 1–2 weeks of your initial consultation and fitness assessment.

Genuine AMS 800™ device — not a substituteThe actual Boston Scientific AMS 800™ implant is used, identical to what is used in North America and Europe. You receive the device's serial number and warranty documentation before you leave India.

Your journeyDay by day — from arrival to flying home

Day 1–2 · Arrival & consultation

You arrive in India and are met by a hospital coordinator. Pre-operative tests are done: blood work, urine culture, cystoscopy, urodynamic study (how your bladder holds and releases urine). Your surgeon reviews results and confirms your suitability.

Day 3 · Surgery day

The operation takes 60–90 minutes under spinal or general anaesthesia. Three small incisions are made — one in the perineum (between scrotum and anus), one in the lower abdomen. The cuff, balloon, and pump are placed and connected. You wake up with a urinary catheter that stays for 24 hours.

Day 4 · Catheter removal & training

The catheter is removed. A nurse specialist teaches you exactly how to use the pump — when to squeeze, how to feel when the cuff opens, and how to deactivate the device when needed (e.g., before catheterisation). Most patients are able to urinate normally the same day.

Day 5 · Discharge

You are discharged home or to your hotel with oral antibiotics, pain relief, and clear written instructions. The device is left deactivated for 6 weeks to allow the tissues to heal around the cuff. You are continent during this time because the cuff is left open.

Day 6–14 · Recovery in India or hotel

You rest and can walk around gently. Many patients explore the city lightly. A follow-up check at the hospital confirms healing. Flying home is safe 7–10 days after surgery for most patients — your surgeon will confirm.

Week 6–8 · Device activation (at home)

Six weeks after surgery, a urologist in your home country — or via video with your India surgeon — activates the device by squeezing the pump in a specific way. From this point onwards you are fully continent. This visit takes 5 minutes.

Important: You will experience normal leakage for the first 6 weeks while the device is deactivated. This is expected and is not a sign that the surgery has failed. Full cocontinence is achieved after activation at week 6.

After activation

What life is like with an AUS

You will need to squeeze the pump once every time you want to urinate
Urination feels natural and complete — no straining
The cuff closes automatically within 3–5 minutes
No external bag, pad, or device
Swimming, exercise, and sexual activity are all possible
Travel by air is fully safe
Airport security metal detectors will not trigger — carry your implant card
MRI scans are permitted (notify the MRI team in advance)

Most patients report a dramatic improvement in quality of life within weeks of activation.

Risks to know

Honest information about complications

Uncommon but possible:

Infection (~2–3%) — may require device removal
Urethral erosion (~3–5%) — cuff causes pressure sore on urethra
Mechanical failure (~15–20% over 10 years) — device may need replacement
Urinary retention — difficulty emptying after activation
Pump migration — pump shifts position in scrotum

Reassuring facts:

90%+ of patients remain satisfied long-term
Most complications are treatable
Device replacement is a simpler procedure than the original

Common questions

Will I need someone to travel with me?

It is strongly recommended to bring a companion, especially for the first 48 hours after surgery. After that, most patients are independent. Hospitals have international patient coordinators who can arrange transport, accommodation, and interpreter services.

How long does the device last?

The AMS 800™ typically lasts 7–15 years before mechanical parts wear out. Replacement surgery is less involved than the original procedure. Many patients have had two or three devices over their lifetime with consistently good results.

Will my home country doctor be able to manage follow-up care?

Yes. The AMS 800™ is available worldwide and any urologist is familiar with it. Your India surgeon will provide full operative notes, device serial numbers, and a post-operative care plan for your home doctor. Video follow-up consultations are also available.

What if I have complications after returning home?

Minor concerns are addressed via video call with your India surgeon. If a surgical intervention is needed, it would be handled by a urologist in your home country — your operative records make this straightforward. The hospital in India will provide 24/7 post-operative contact for the first 90 days.

Can women have AUS surgery?

Yes, though it is less common. The AMS 800™ is approved for women with stress incontinence due to sphincter weakness. The cuff is placed around the bladder neck, and the pump sits in the inner labia. Results in women are excellent, with high satisfaction rates.

Artificial Urinary Sphincter (AUS) Implantation

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