Recovery timeline following AUS

Posted by bwjb @bwjb, Feb 2 11:15am

What was your recovery from the AUS procedure like? If you had previously had radiation treatment for prostate cancer, how did that affect the AUS procedure?

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(watching carefully because I'm hopefully being assessed for an AUS soon)

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Recovery from my AUS was about 6 weeks, like many surgeries. Due to the sensitive are of the incisions, the first week was a challenge, especially with the catheter. But, recovery was tolerable.
Yes, I had prior targeted beam radiation of the prostate bed. My AUS surgeon was very experienced and studied my situation thoroughly, resulting in no complications and a full, functional recovery. Having this procedure, going on 3 years ago, was one one my smartest decisions and a true and positive life changer. If you need it, don't fear it and go for it.

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@smc24

Recovery from my AUS was about 6 weeks, like many surgeries. Due to the sensitive are of the incisions, the first week was a challenge, especially with the catheter. But, recovery was tolerable.
Yes, I had prior targeted beam radiation of the prostate bed. My AUS surgeon was very experienced and studied my situation thoroughly, resulting in no complications and a full, functional recovery. Having this procedure, going on 3 years ago, was one one my smartest decisions and a true and positive life changer. If you need it, don't fear it and go for it.

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Oh. Everything I've read says that the catheter is inserted during surgery but removed the next day, before leaving hospital.

Not another week with a catheter.
Nooooooooo

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@peterj116

Oh. Everything I've read says that the catheter is inserted during surgery but removed the next day, before leaving hospital.

Not another week with a catheter.
Nooooooooo

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Thanks for your messages. My AUS is scheduled for Monday 2/9. At the pre-surgical appointment, the surgeon was saying the catheter gets removed the next day. He also said that the AUS wouldn't be activated for 6 weeks, so I have 6 more weeks of Depends and incontinence pads inside them. The written instructions said to wear a "scrotal support" (which the nurse clarified was just referring to an athletic supporter), so I guess that will go under the Depends and pad. One of the things I meant to ask was whether they would use skin glue on the perineal incision or whether there would be surgical dressings that will have to get changed. I had read that doctors sometimes modify the approach and where they place the cuff if a man has had prior radiation (like I had nearly 20 years ago). But after the doctor finished the cystoscopy I was happy to hear him say that he would use the standard perineal approach and place the cuff in the usual position on the "bulbar" section of the urethra. I am curious. I understand that doctors consider the AUS a success if a man needs only one pad per day after surgery. I am curious whether this is constant slow drip or just stress incontinence like a squirt upon standing up, etc.. Thanks again.

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@bwjb

Thanks for your messages. My AUS is scheduled for Monday 2/9. At the pre-surgical appointment, the surgeon was saying the catheter gets removed the next day. He also said that the AUS wouldn't be activated for 6 weeks, so I have 6 more weeks of Depends and incontinence pads inside them. The written instructions said to wear a "scrotal support" (which the nurse clarified was just referring to an athletic supporter), so I guess that will go under the Depends and pad. One of the things I meant to ask was whether they would use skin glue on the perineal incision or whether there would be surgical dressings that will have to get changed. I had read that doctors sometimes modify the approach and where they place the cuff if a man has had prior radiation (like I had nearly 20 years ago). But after the doctor finished the cystoscopy I was happy to hear him say that he would use the standard perineal approach and place the cuff in the usual position on the "bulbar" section of the urethra. I am curious. I understand that doctors consider the AUS a success if a man needs only one pad per day after surgery. I am curious whether this is constant slow drip or just stress incontinence like a squirt upon standing up, etc.. Thanks again.

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My expectation is that the device isn't activated for 6 weeks, to give the area time to heal.
Until then, we continue with pads as usual & incontinence is pretty much the same (possibly less, if swelling affect the urethra's ability to release urine).

After the 6 weeks, it's back to the urologist to activate the device & teach us how to use it.
From what I've read, one just-in-case thin pad per day is considered success & will be the new norm.
The currently-annoying leakage when standing up etc should be a rarity.

AUS-wearers will be probably be here to chime in soon, because - as always - we're not robots & everyone's experience will be different.

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@peterj116

Oh. Everything I've read says that the catheter is inserted during surgery but removed the next day, before leaving hospital.

Not another week with a catheter.
Nooooooooo

Jump to this post

Yes, typically the catheter is removed the day after the AUS implant. Although, it may be retained longer if the patient had previous pelvic radiation or has tension in the urethral anastomosis. This was my situation. It's been a few years ago, and perhaps it was in less than a full week, but mine was in for several days due to this atypical condition.

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@smc24

Yes, typically the catheter is removed the day after the AUS implant. Although, it may be retained longer if the patient had previous pelvic radiation or has tension in the urethral anastomosis. This was my situation. It's been a few years ago, and perhaps it was in less than a full week, but mine was in for several days due to this atypical condition.

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Thanks very much. Good to know.

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@bwjb

Thanks for your messages. My AUS is scheduled for Monday 2/9. At the pre-surgical appointment, the surgeon was saying the catheter gets removed the next day. He also said that the AUS wouldn't be activated for 6 weeks, so I have 6 more weeks of Depends and incontinence pads inside them. The written instructions said to wear a "scrotal support" (which the nurse clarified was just referring to an athletic supporter), so I guess that will go under the Depends and pad. One of the things I meant to ask was whether they would use skin glue on the perineal incision or whether there would be surgical dressings that will have to get changed. I had read that doctors sometimes modify the approach and where they place the cuff if a man has had prior radiation (like I had nearly 20 years ago). But after the doctor finished the cystoscopy I was happy to hear him say that he would use the standard perineal approach and place the cuff in the usual position on the "bulbar" section of the urethra. I am curious. I understand that doctors consider the AUS a success if a man needs only one pad per day after surgery. I am curious whether this is constant slow drip or just stress incontinence like a squirt upon standing up, etc.. Thanks again.

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Responding to a couple of @peterj116 questions:
I had glue for the incision in the crouch. It was a little scratchy, but each trip to the shower slowly wash it off.
Going on 3 years and about one pad per day, any leakage is usually when my bladder is somewhat full and, while sitting in a chair, lean over to tie a shoe. The device is designed to retain a certain fluid pressure and that squeezing action exceeds that design. That's a good thing to avoid urine backups or damaging the bladder, etc. The technical mathematics of you body's natural system and the AUS device can be found in the manufacturer's literature.
I hops this helps and puts you more at ease.

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@smc24

Responding to a couple of @peterj116 questions:
I had glue for the incision in the crouch. It was a little scratchy, but each trip to the shower slowly wash it off.
Going on 3 years and about one pad per day, any leakage is usually when my bladder is somewhat full and, while sitting in a chair, lean over to tie a shoe. The device is designed to retain a certain fluid pressure and that squeezing action exceeds that design. That's a good thing to avoid urine backups or damaging the bladder, etc. The technical mathematics of you body's natural system and the AUS device can be found in the manufacturer's literature.
I hops this helps and puts you more at ease.

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Thankyou. That helps. Not good to know that leaning over still leaks, though. That's driving me nuts at the moment. Does more frequent urination avoid that?

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Yes, remembering to urinate every few hours and keeping my bladder, say, less than full prior certain activities reduces stress (compression on the bladder) leakage. As I mentioned, leaning over to tie shoes seems to cause the most problems (a squirt or two), although minor. Overall, even with tennis and other similar activities, leakage is not a big deal. I wear a Depends all the time, going through one or two per day, so I don't think about minor leakage anymore.

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