Artificial Urinary Sphincter in India for International Patients

Regain complete control with an Artificial Urinary Sphincter in India organized smoothly by our team, from rapid specialist booking to a cozy recovery stay.

Artificial Urinary Sphincter in India for International Patients

Artificial Urinary Sphincter in India

An Artificial Urinary Sphincter (AUS) is an implantable medical device that is used to treat moderate to severe stress urinary incontinence, especially in patients that still have urine leakage despite conservative treatment. It is regarded as the gold standard surgery for severe male stress urinary incontinence especially post prostate surgery.

When is an Artificial Urinary Sphincter needed?

Patients who might be eligible for an AUS include those with:

  • Urinary incontinence that is very troublesome following prostate cancer surgery.
  • The urination leakage after prostate enlargement surgery.
  • Trauma to the pelvis causing sphincter damage.
  • Urinary incontinence in selected patients (neurogenic)
  • Some urinary incontinence that continues after pelvic floor exercises, medications or sling operations.

How Does It Work?

The device consists of three main components:

  • Urethral cuff: A tube that is inserted inside the penis to keep urine from escaping.
  • Pressure regulating balloon: Cuff pressure regulation.
  • Control pump: Typically, placed within the scrotum (in males) or under the skin (in females).

If the patient wants to urinate, he/she squeezes the pump, which deflates the cuff temporarily for the urine to pass. The cuff self inflates in a few minutes to restore continence.

Procedure Overview

  • Urine tests, imaging and urodynamic tests as part of the preoperative evaluation.
  • General or spinal anaesthetic.
  • A few small incisions are made to place the cuff, balloon and pump.
  • Device is tested prior to closure.
  • During healing the AUS is deactivated and is being activated after 4-6 weeks.

Recovery

  • Hospital stay: 1–2 days
  • Removal of a catheter: It is normally removed in 24–48 hours
  • After a week or 2: light activities
  • Heavy lifting: Refrain for 4-6 weeks
  • Infection is cleared: 4-6 weeks after surgery
  • It is recommended to have regular follow-up to check function.

Factors Affecting Artificial urinary sphincter surgery cost India

Artificial Urinary Sphincter Surgery Cost in India depends on a number of factors:

The type and brand of the Artificial Urinary Sphincter (AUS)

  • One of the highest cost items is the device itself that is being inserted. The cost of internationally approved AUS systems may vary in price depending on the manufacturer, model and availability.

Hospital Choice

  • The cost of treatment will depend on the multi-specialty hospital, super-specialty urology center and internationally accredited healthcare institutions. Certain hospitals have higher charges because they provide advanced robotic and reconstructive urology services.

Surgeon's Expertise

  • The reconstructive urologist who is doing the procedure can affect the overall price. Prospective surgeons who have a lot of experience in revision and prosthetic urology may bill more for their professional services.

Patient's Medical Condition

  • The cost of treatment may be higher if the patient has undergone pelvic surgery, radiation therapy, or other urological surgery that has caused previous incontinence, urethral stricture, or other complicated urological conditions which may require further evaluation and surgical planning.

Preoperative Diagnostic Tests

  • Blood tests, urine tests, cystoscopy, urodynamic tests, imaging scans, electrocardiogram (ECG) and anaesthesia evaluation are all contributing to the overall cost of the comprehensive investigations.

Difficulty of the surgery 

  • Depending on the type of surgery, the technique of implantation may vary, either primary or revision surgery. Operative times and specific skills are typically greater with revision procedures.

Type of Anaesthesia

  • General or spinal anaesthesia is selected based on the patient's condition and surgeon's recommendation. Anaesthesia costs are included in the total cost of the treatment.

Length of hospital stay

  • The length of stay varies, with most patients leaving the hospital 1-2 days later, although longer hospital stays may result from medical complications or from monitoring the patient after surgery.

Medications and Consumables

  • Costs cover the cost of antibiotics, pain medication, surgical materials, disposable equipment, urinary catheter, dressings and all other items consumed during the period of hospitalization.

Postoperative follow-up and device activation

  • Once the device is in place, the AUS is typically turned on approximately 4-6 weeks later. Follow-up consultations, device programming and recovery assessments are all part of the overall treatment cost.

Management of Complications

  • When complications, such as infection, urinary retention, erosion of the urethra and/or device malfunction occur, further treatment, revision surgery, or extended hospital stays could require more costs.

International Patient Services

  • In addition to treatment costs, overseas patients might face additional expenses for visa fees, airport transfers, accommodation, interpreter fees, patient coordinators, and after-care, depending on the treatment package.

Best hospitals for artificial urinary sphincter in India

Urinary incontinence treatment India

Urinary incontinence is the term used to describe loss of bladder control and thus a leakage of urine. It can happen to anyone, but is more likely to occur among older adults, women after childbirth and men after prostate surgery. It can vary from leaking urine from time to time to a loss of bladder control.

Types of Urinary Incontinence

  • Stress Urinary Incontinence: Urge to pass urine when coughing, sneezing, laughing, exercising or lifting heavy objects.
  • Urge Urinary Incontinence (Overactive Bladder): Urge to urinate with an urgent need to get to the toilet followed by leakage.
  • Overflow Incontinence: Overflow or constant dribbling as a result of not emptying the bladder completely.
  • Functional Incontinence: Incontinence due to physical or neurological impairments which hinder timely access to the toilet.
  • Mixed Urinary Incontinence: Mixed with stress and urge.

Treatment Options Available in India 

Treatment depends on the kind and severity of incontinence.

Lifestyle and Behavioral Therapy

  • Bladder training
  • Timed voiding
  • Exercises for the muscles of the pelvic floor (Kegel exercises)
  • Weight management
  • Dietary modifications
  • Decreasing caffeine and alcohol intake
  • Fluid management

Medications

  • Medications can help decrease the overactive bladder or bladder control, especially when it's urge urinary incontinence.

Minimally Invasive Procedures

  • Bulking agent injections
  • Sacral neuromodulation
  • Posterior tibial nerve stimulation (PTNS)
  • Injection of botulinum toxin (Botox) into the bladder is one therapy for overactive bladder.

Surgical Treatment

Patients with moderate to severe incontinence that is unresponsive to conservative therapy may benefit from surgery such as:

  • Mid-urethral sling procedures
  • Pubovaginal sling surgery
  • Colposuspension
  • Male sling procedures
  • Artificial urinary sphincter (AUS) – urinary incontinence that is extremely hard, particularly after prostate surgery.
  • If surgery is needed and is appropriate for a pelvic organ prolapse it will be performed.

Male urinary incontinence surgery India

Male urinary incontinence surgery in India provides a lasting cure for men who have ongoing urine leakage issues despite taking medication, performing pelvic floor exercises or other conservative therapies. Leading urology hospitals in India offer cutting-edge surgical procedures carried out by seasoned reconstructive urologists, aiming to get the patients' bladder under control and thus improve their lifestyle.

There are several types of male urinary incontinence surgery:

Male Sling Surgery

A male sling is fitted to support the urethra and help provide better control of urination by moving or squeezing the urethra. It is recommended for men who have mild to moderate stress urinary incontinence in general.

Benefits:

  • Minimally invasive procedure
  • No mechanical device to operate
  • Short hospital stay
  • Faster recovery
  • Very high success rates in patients selected for the procedure

Artificial Urinary Sphincter (AUS) Implantation

For moderate to severe male SUI, especially after prostate surgery, the artificial urinary sphincter is regarded as the standard or "gold standard" treatment.

The system consists of:

  • A balloon rim that is inserted into the penis.
  • A pressure-regulating balloon
  • A scrotal pump to regulate the scrotum.
  • When the patient wants to urinate, they squeeze the pump; the cuff automatically re-inflates to stop urine from leaking.

Advantages:

  • Good long term continence results
  • High patient satisfaction
  • Durable and reliable solution
  • There will be a considerable improvement in the quality of life.

Adjustable Continence Devices

  • Adjustable sling systems and balloon devices are sometimes used to help control urination in selected patients, and may be used afterward if an adjustment is needed.

Revision Surgery

  • Sometimes, patients with a second incontinence or failing implants will need revision or replacement surgery by a more sophisticated reconstructive urologist.

Conclusion

International patients who are interested in the treatment of stress urinary incontinence can get one of the most effective and long-lasting treatments by undergoing Artificial Urinary Sphincter (AUS) in India for severe cases of stress urinary incontinence that can occur after prostate surgery or damage to the sphincter. Patients receive world-class care customized to each patient through access to experienced reconstructive urologists, internationally accredited hospitals, advanced surgical technology and internationally recognized implant systems.  Apart from excellent clinical results, India offers substantial cost benefits, quicker waiting times and full package support services to patients coming from abroad which include medical visa facilitation, airport transfer, accommodation arrangement, language interpretation and follow up care. The blend of clinical know-how, cutting-edge facilities, patient-focused care and cost-effectiveness makes India a reliable choice for artificial urinary sphincter surgery. International patients will receive the highest standard of safety, compassion and improved continence enabling them to have a greater confidence, independence and quality of life.

Artificial Urinary Sphincter in India​​ with GetWellGo

GetWellGo is regarded as a leading supplier of healthcare services. We help our foreign clients choose the best treatment locations that suit their needs both financially and medically.

We offer:

  • Complete transparency
  • Fair costs.
  • 24 hour availability.
  • Medical E-visas
  • Online consultation from recognized Indian experts.
  • Assistance in selecting India's top hospitals for Artificial Urinary Sphincter.
  • Expert uro-surgeons with a strong track record of success
  • Assistance during and after the course of treatment.
  • Language Support
  • Travel and Accommodation Services
  • Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
  • Local SIM Cards
  • Currency Exchange
  • Arranging Patient’s local food

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