Artificial Urinary Sphincter Proven Safe, Effective, and Life-Changing for Men with Incontinence

A recent multicenter trial has provided the strongest evidence yet supporting the safety, effectiveness, and high patient satisfaction of the artificial urinary sphincter (AUS) for men with stress urinary incontinence (SUI)—particularly post-prostatectomy patients. The study, known as AUSCO, involved 115 men (average age 70) and was conducted across 17 high-volume centers in the U.S. and Australia.

Key outcomes after 12 months included:

• 93.8% of patients achieved at least a 50% reduction in pad weight over 24 hours.

• 85.6% had at least a 75% reduction, with daily pad use dropping by 80%.

• Urinary incontinence episodes decreased by more than 60%, and urge incontinence also significantly improved.

• No infections required device removal—an uncommon and positive result.

Importantly, patients reported significant improvements in quality of life and mental health, with reductions in depression and anxiety. Over 90% of users were satisfied with the AUS, and many found it easy to use, even among older or overweight patients, countering concerns about usability.

While adverse events occurred in about one-third of patients, including device malfunctions and erosions, most were manageable. Only a small number required revision or explantation. When removal was necessary, patients were eager to receive a replacement, highlighting the device’s perceived benefit.

Experts emphasized the AUS’s real-world effectiveness and usability, especially given the broad inclusion criteria that reflected common comorbidities like diabetes and heart disease. Though the study lacked strict surgical protocols, outcomes suggest that experience at high-volume centers plays a critical role in success.

After 50 years of use, the AUS now has solid clinical backing, offering hope and restored confidence for men managing SUI, especially following prostate cancer treatment.

Bankhead, C. (2025, April 28). At long last, hard data to support artificial urinary sphincter in male incontinence: At least 50% reduction in daily sanitary pad weight for 94% of patients, high satisfaction rates. MedPage Today. https://www.medpagetoday.com/meetingcoverage/aua/115310