An artificial urinary sphincter (AUS) system includes a pump attachable with tubing between a pressure regulating reservoir and a cuff. The cuff is configured for placement around a portion of a urethra and has a frame with at least one inflatable balloon attached to the frame. A gap is formed from a top edge to a bottom edge of the frame, where the gap provides the rigid frame with a C-shaped conformation in lateral cross-section having a first lateral section separated from a second lateral section. Each inflatable balloon(s) is/are attached to an interior surface on one of the first lateral section or the second lateral section of the frame.