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ProACT vs AUS (Artificial Urinary Sphincter): Which did you choose?

Posted by jimchs @jimchs, Mar 2 11:14am

In 2015 at 55 I had an RP with radiation. Never leaked. 2019 developed a stricture and urologist tried to balloon with cath but, it came back. He advised stricture surgery and, May 2024 had it done. Up until then I had no leakage. Since day of surgery I have 100% leakage. Dr. who did surgery wants to try ProAct which he does exclusively but, second doctor opinion said AUS which, he does exclusively. Since I am a beginning weightlifter I was wondering which can hold back the urine better. I also can find no information on how many surgeries of either any doctor has performed. I would like to find a doctor who has done many of one or, the other. HealthGrade and ZocDoc seem to be no help.

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oldbell | @oldbell | 5 days ago
In reply to @mrangus "Yep. UTI much more likely. I'm not aware of any studies pro or con, but cranberry..." + (show)
@mrangus

Yep. UTI much more likely. I'm not aware of any studies pro or con, but cranberry juice seems to help. There are cranberry pills available otc. I had 3 UTIs in 2 months and while this is anecdotal at best, since drinking a glass everyday I've not had one for 7 months.

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For 20 years I have worn a pad and it finally got to 6 or more pads a day Tena overnight pads so I chose to have PROACT a week and a half ago just getting over soreness but stopped incontinence about 99% and very happy have not had any UTI"S in 20 plus years.

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