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This is a summary of the NHS Devon CCG commissioning policy for Artificial Urinary Sphincters for Post-Prostatectomy Incontinence
Urinary symptoms following prostatic surgery should be managed with involvement of specialist continence services. Initial management may include coping strategies, pelvic floor muscle re-education, bladder retraining and appropriate pharmacotherapy.
Joint Formulary link: Chapter 7 Obstetrics, gynaecology, contraception, and urinary-tract disorders
Artificial Urinary Sphincter placement of the AMS 800 type will be routinely commissioned for men who suffer intractable urinary stress incontinence following prostatectomy that has failed to respond to conservative measures delivered over an adequate time in conjunction with a specialist continence service.
Patients who are not eligible for treatment under this policy may be considered for exceptionality on an individual basis.