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Profile picture for lsk1000 @lsk1000

Interesting. I heard radiation can cause inflexible scar tissue that is more difficult for the cuff to squeeze. And in my case a urethral stricture would require surgery to fix the stricture which can fail right away or if it failed down the road it would necessitate removing the AUS, salvage surgery to the urethra and re-implantation of the AUS is even possible. Fortunately I like the clamp so I’m not haunted by this decision.

ChapGPT on AUS for what it's worth:
Effects of Radiation
Radiation (such as after prostate cancer treatment) can cause:
Tissue scarring and fibrosis around the urethra
Reduced blood supply to tissues
Weakened tissue healing ability
These changes mean:
The urethra is more fragile, making it harder to safely place the cuff that controls urine flow.
There’s a higher risk of complications, such as erosion (the cuff wearing through the urethra) or infection.
Healing after surgery may be slower or less complete.
📉 Risk Comparison
Studies show that:
Men without prior radiation have good success rates (80–90% dryness with low complication rates).
Men with prior radiation can still benefit from an AUS, but have:
Higher revision rates (more reoperations)
More frequent erosions or infections
Slightly lower long-term continence rates

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Replies to "Interesting. I heard radiation can cause inflexible scar tissue that is more difficult for the cuff..."

@lsk1000
That’s why the urologist requires a cystoscopy to make sure that it will work properly.

More AI answers

For men with incontinence after prostate radiation, the artificial urinary sphincter (AUS) is often the most effective device for moderate to severe leakage, as it is specifically recommended for post-radiation cases. An AUS is an implanted, three-part device that controls urine flow, while less invasive options like penile clamps can provide temporary external management. For mild cases, some clinicians may consider other surgical options, but radiation often makes an AUS the preferred choice due to previous tissue changes.