Sling, or artificial urinary sphincter?

My understanding is that the dr does not want the cuff around urethra to close off completely, Wears urethra out in that area. So I wear a pad during the day . Most days not to ..heavy with urine . Coffee, tea. Mnt dew will cause more leakage so I don’t over drink that stuff. The dr and his nurse explained and showed me how to hold the two tubes and squeeze the end of pump in scrotum to open cuff. This is the pump in scrotum and some of the instructions. Little bump on top of pump shuts it off. Dr said never shut it off. Let a urologist do that.

Lee
I was told by my Uro to wear a medical alert bracelet with: "Artificial Urethral Sphincter - Do not catheterize".

Correct I have a card in my wallet explaining about the AUS, also in my truck and in my wife’s car. Bracelet says…. Consult urologist before urethra catheterization ..

It's interesting this topic came up. I'm seeing a pelvic floor therapist preemptively now (pre-surgery) along with a personal trainer to try to be as ahead of the curve as I can be and the therapist was talking about another patient with the AUS who raves about it and has even offered to talk to any of her patients about it. My first reaction was "well there's a sling that doesn't require activation" but it's hard to argue against the logic of regaining the second sphincter that was removed since it's something I've lived my whole life with. Given what I've read elsewhere and even in this thread, I think if I end up needing anything I'll opt for the device over the sling.

3 to 4 depends a day on a very active day. my urologist is pushing the artificial sphincter very strongly.
He says the sling is worthless. My surgery was in 2018 and to be fair I have not really tried to maximize my kegle training until recently. i was curious about others experiences with either product. i am not too crazy about a device implanted in to my body with the possibility of problems when i am not near medical help.

@maumee1967
With that much pad use the AUS makes a lot more sense. If your PSA starts to rise and you need radiation, then the sling doesn’t even work well. Sling is a lot less effective than the AUS.

There are the number people here that have had the AUS and have been very pleased with it. I’m getting one installed in April. Had surgery and my PSA rose so I had salvage radiation. The only option is the AUS for me.

Since you have not had radiation, there is another option. The ProACT device works quite well and a few people in this forum have used it and it worked well for them. Urologist that have used this device have been very happy with it. Like the sling it does not work with radiation to the prostate bed because that hardens the urethra

3 to 4 depends a day on a very active day. my urologist is pushing the artificial sphincter very strongly.
He says the sling is worthless. My surgery was in 2018 and to be fair I have not really tried to maximize my kegle training until recently. i was curious about others experiences with either product. i am not too crazy about a device implanted in to my body with the possibility of problems when i am not near medical help.