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While artificial urinary sphincters (AUS) are highly effective in managing severe stress urinary incontinence, they carry certain hidden risks that patients and healthcare providers must be aware of. Common complications include device malfunction, such as cuff deflation, pump failure, or tubing leaks, which can lead to recurrent incontinence or discomfort. Infection remains a significant concern, particularly in the early postoperative period, as the device is implanted in the periurethral area. Additionally, erosion of the device into surrounding tissues, including the urethra, bladder, or skin, can occur over time, potentially requiring surgical intervention. Urethral atrophy or scarring may also develop, reducing the device's effectiveness or leading to chronic pain. Furthermore, some patients may experience issues with the manual dexterity required to operate the pump, leading to frustration or difficulty in adjusting the device. Regular follow-ups and patient education on signs of complications are essential to mitigate these risks and ensure optimal device function. *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