I waited 10 years to get my Artificial Sphincter - AMS 800 installed to control my peeing on 1/22/11
It was Outpatient but I stayed over night til 7:00AM.
They pulled the catheter around 500AM day of discharge
I am now at home for last 2 wks healing - sitting is getting better since you will have blue balls for sure!!!
They made an incison superpubic which they put the reservoir for cuff and some of the tubing
The made an incision lower scrotum - almost anus area to install the pump and cuff around the bulbar urethra
The pump itself is on my right side of scrotum (almost like another ball!!)
Google AMs 800 and they show you how it is installed.
The problem I had was strictures - 2 sets after I had the RP ( just after catheter removed) and one just in Sept.
The urologist in Sept cleaned stricture out good and I had basically NO CONTROL - 8-9 pads per day.
I tried bulking which they inject an agent around sphincter. - collagen and teflex - (year two and three post RP) the current Urologist stated he saw few results with it but it is dependent on guy and RP surgery.
I had control after my RP but due to strictures, it didn't last since they had to be cleaned out
Don't go getting an AUS until you have time to heal. If you read the other guys on here, you will note mixed results with being dry, but most say - it ain't going to happen today, it needs time.
If you had strictures, you need to wait at least 90 days before as AUS so that there is healing and surgeon is comfortable that you are a candidate. I almost didn't make it because I had some scar tissue around sphincter (due to bulking I presume)
I know it is tough to pee in your pants especially when you have a pad on and it overflows. After the Laser removal of strictures, I broke down and cried to my wife. I just couldn't take it any more after 10 years.
My urologist initially thought there could be a problem so he wasn't going to recommend me to Cleveland. He relooked at charts and said Go for it - I was super happy. When Cleveland Clinic said could be a problem, it almost dashed all hopes. With further review he said GO!.
Hopefully this answers why I needed an artificial sphincter. It is not something you start looking at until you know what you have.
At this point after your RP, you have at least 6 month to 15 months of healing, exercising (walking), kegels, peeing (don't wait do it every couple of hours even if you don't feel like it), using pads and having patience.
You will do fine.