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Essential preoperative evaluations for artificial urinary sphincter (AUS) candidates focus on assessing the patient’s overall health, urinary function, and suitability for implantation. A comprehensive history and physical examination help identify contributing factors such as prior pelvic surgeries, radiation therapy, or neurologic conditions that may affect outcomes. Urodynamic testing is often used to evaluate bladder function, including capacity, compliance, and detrusor activity, to ensure that the patient can safely retain urine with the sphincter in place. Cystoscopy is crucial for visualizing urethral integrity and ruling out strictures or other abnormalities that could complicate implantation. Additionally, patients must be counseled on the need for manual dexterity and cognitive ability to operate the device, ensuring realistic expectations and adherence to postoperative care. *The expert's opinions in this communication are personal and not representative of any organization. They are for informational purposes only, not official guidance. Viewers are advised to use their judgment, seek additional advice, and take responsibility for any actions based on these opinions. #menshealth #incontinencecare #urinaryhealth