Male Incontinence (AMS Prosthesis)

Male urinary incontinence treatment using AMS (American Medical Systems) prosthetic devices provides an advanced and highly effective solution for men experiencing involuntary urine leakage. These specialized implants are designed to restore bladder control and significantly improve quality of life, especially for patients whose condition persists after prostate surgery or other medical issues.

AMS prostheses offer a sophisticated approach by supporting the urinary sphincter mechanism, allowing men to regain confidence, comfort, and daily independence. This treatment is widely recognized as one of the most reliable long-term options for managing moderate to severe male incontinence.

What is Male Incontinence (AMS Prosthesis)?

Male urinary incontinence is the involuntary leakage of urine, a condition that can significantly affect daily comfort, confidence, and overall quality of life. It may develop after prostate cancer treatment, pelvic or prostate surgery, neurological disorders, or other medical conditions that interfere with normal bladder control.

For men experiencing moderate to severe stress urinary incontinence (SUI) — particularly leakage triggered by coughing, sneezing, lifting, or physical activity — an AMS artificial urinary sphincter prosthesis offers a highly effective surgical solution. This device is specifically designed to restore urinary control and is different from penile implants used for erectile dysfunction.

The AMS system is typically composed of three interconnected components: a cuff placed around the urethra, a pressure-regulating balloon, and a control pump positioned discreetly within the body. The cuff gently compresses the urethra to prevent urine leakage. When urination is desired, the patient activates the pump, temporarily releasing the cuff to allow normal urine flow.

This advanced implant is generally recommended when conservative treatments such as pelvic floor therapy, medications, or lifestyle modifications have not provided sufficient improvement. By restoring voluntary bladder control, the AMS prosthesis can significantly enhance independence, comfort, and overall quality of life.

What are the Advantages of AMS Prosthesis for Male Incontinence?

The AMS prosthesis provides a highly effective and advanced solution for men experiencing stress urinary incontinence, offering both functional improvement and long-term comfort. Here are the main advantages of this treatment:

Better Urinary Control: The device helps restore control over urine flow by allowing the patient to activate the system easily when urination is needed.
Discreet and Dependable: Once implanted, the prosthesis remains completely internal, providing a private, reliable, and long-lasting solution without any external equipment.
Improved Confidence and Quality of Life: By reducing or eliminating urine leakage, many men feel more comfortable in social settings and regain confidence in everyday activities.
Faster Return to Daily Life: Recovery is generally manageable, and most patients can resume normal routines within a few weeks under medical guidance.
Minimally Invasive Placement: The prosthesis is implanted through small, carefully planned incisions, which helps reduce visible scarring and lowers surgical risk.
Durable Long-Term Relief: With proper follow-up and care, the AMS prosthesis can provide many years of effective support and sustained continence improvement.

Who is Suitable for AMS Prosthesis for Male Incontinence?

The AMS artificial urinary sphincter is typically recommended for men experiencing moderate to severe stress urinary incontinence who require a reliable surgical solution. A thorough medical evaluation is necessary to determine candidacy and ensure the safest and most effective outcome.

Severe Stress Urinary Incontinence (SUI): Men who experience frequent urine leakage during activities such as coughing, sneezing, lifting, or exercise — particularly after prostate surgery — may be strong candidates.
Previous Treatment Failure: Individuals who have not achieved satisfactory improvement with pelvic floor therapy, medications, or other conservative treatments.
Good General Health: Suitable candidates should be medically fit for surgery and free from uncontrolled infections or severe systemic conditions.

Seeking a Long-Term Solution: Men who prefer a durable, implant-based treatment rather than ongoing temporary therapies.
Realistic Expectations: Patients should understand that while the device restores urinary control, it does not treat underlying medical conditions and requires proper follow-up care.

A detailed consultation with a qualified urologist is essential to assess medical history, severity of incontinence, and overall suitability for the AMS prosthesis.

How the AMS Prosthesis for Male Incontinence Works: Step-by-Step

The AMS prosthesis (artificial urinary sphincter) is an implant-based treatment designed to restore urinary control in men with stress urinary incontinence. It works by gently closing the urethra with a cuff and allowing urination only when you activate a small pump. Below is an overview of how the process typically works, from evaluation to recovery.

1) Consultation
Your process starts with a detailed evaluation by a urology specialist. During this visit, urinary leakage severity is assessed, medical history is reviewed, and suitability for an implant is confirmed. The specialist also explains how the device functions and what results you can realistically expect.
2) Pre-Procedure Preparation
Before surgery, you receive personalized preparation instructions. This may include adjusting or pausing specific medications, completing lab tests, and following fasting guidelines. If needed, additional assessments may be requested to ensure you are medically fit for the procedure.
3) Surgical Implantation
The procedure is performed under general anesthesia. Small incisions are made to position the three components of the system:
- Urethral cuff: Placed around the urethra to prevent leakage by applying gentle pressure.
- Pressure-regulating balloon: Placed in a deeper area of the pelvis to maintain consistent pressure within the system.
- Control pump: Typically positioned in the scrotum so it can be easily accessed and used when you need to urinate.
Once implanted, the surgeon confirms that each component is positioned properly for comfort and effective control. The operation generally takes around 1–2 hours, and many patients are discharged the same day depending on medical observation needs.
4) Recovery
In the early recovery period, mild swelling, bruising, or discomfort is common and usually improves steadily. Light daily activities may be resumed within a few days, but heavy lifting, intense exercise, and sexual activity are typically postponed for about 4–6 weeks to allow full healing and stable implant positioning.
5) Follow-Up and Device Activation
Follow-up visits are scheduled to monitor healing and ensure the implant is functioning as intended. During these visits, you are taught how to operate the pump safely and correctly. Periodic long-term check-ups may also be recommended to assess the device and address any concerns.

Because every patient’s anatomy and medical background is different, the exact steps and timeline may vary slightly. A specialist evaluation is essential to confirm the most appropriate plan and expected outcomes.

Why Choose Our Clinic for AMS Prosthesis for Male Incontinence?

Choosing the right medical team for an AMS prosthesis procedure is essential for both safety and long-term success. Our clinic provides specialized care for men experiencing urinary incontinence, offering advanced solutions with a discreet and patient-focused approach.

Expert Urologists
Our experienced urology team has more than 26 years of expertise in male incontinence treatments, including AMS prosthesis implantation. Every case is handled with precision, professionalism, and individualized attention.
Advanced Surgical Techniques
We use modern medical technologies and minimally invasive methods whenever possible, helping to reduce recovery time, improve comfort, and achieve durable, effective urinary control.
Personalized Treatment Planning
Each patient receives a tailored approach based on anatomy, medical history, and lifestyle needs. Treatment plans are carefully designed to deliver the most natural and reliable outcome.

Comprehensive Support From Start to Finish

From the first consultation through surgery and follow-up care, our team provides complete guidance, ensuring you feel informed, supported, and confident at every stage of the process.

Confidential and Compassionate Care
We understand the sensitive nature of urinary incontinence and provide a respectful, private environment where patient comfort, dignity, and confidentiality are always prioritized.

With expert hands, modern techniques, and personalized care, the AMS prosthesis procedure can offer life-changing improvement in comfort, confidence, and daily quality of life.

AMS Prosthesis for Male Incontinence Prices in Turkey

The cost of an AMS prosthesis procedure for male urinary incontinence in Turkey depends on several important factors, including the complexity of the surgery, the type of device used, and the level of medical care provided.

Pricing may vary based on individual patient needs, whether additional evaluations are required, and the overall treatment plan designed by the specialist team.

Our clinic offers competitive and transparent pricing while maintaining the highest standards of safety, surgical expertise, and post-operative support.

For the most accurate cost estimate, a personalized consultation is recommended. During this evaluation, your condition will be assessed in detail and a clear breakdown of all expected costs will be provided.

Frequently Asked Questions

An AMS prosthesis (artificial urinary sphincter) is a surgically implanted device designed to treat moderate to severe male stress urinary incontinence. It helps control urine leakage by replacing or supporting the function of the weakened urinary sphincter muscle.

The device typically consists of three components: a cuff placed around the urethra, a pump inserted in the scrotum, and a pressure-regulating balloon inside the abdomen. The cuff keeps the urethra closed to prevent leakage, and the patient presses the pump to temporarily open it when urinating.

This treatment is usually recommended for men who suffer from severe urinary leakage, often after prostate surgery or when the urinary sphincter muscle is weakened. It is generally considered when medications or other treatments have not been effective.

The implantation procedure is usually performed under anesthesia and may take around 1 hour, depending on the patient’s condition and surgical technique. After surgery, the device is typically activated several weeks later once healing is complete.

No, the entire device is placed inside the body and is not visible externally. This allows patients to regain bladder control while maintaining a natural appearance and normal daily activities.