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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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garyretiredstatedetsgt | @garyretiredstatecop | 1 day ago
In reply to @oldbell "For 20 years I have worn a pad and it finally got to 6 or more..." + (show)
@oldbell

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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I had my PROACT at University of Michigan Hospital Sept 2023 and still dry. Where did you have your surgery?

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1 reply
jimchs | @jimchs | 1 day ago
In reply to @garyretiredstatecop "I had my PROACT at University of Michigan Hospital Sept 2023 and still dry. Where did..." + (show)
@garyretiredstatecop

I had my PROACT at University of Michigan Hospital Sept 2023 and still dry. Where did you have your surgery?

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Gary. I have had 100% leakage since my restriction surgery in May last year. I have had to put off a solution because of restriction which I had surgery for 2 weeks ago. Now I have to decide between AUS and, ProAct which can't happen until after summer anyway. I'm getting differing opinions from doctors depending on which surgery they perform. Either way I'll have to find a doctor in the Northeast to do whichever one.
Before PA how much leakage did you have and, what made you choose ProAct over AUS ?
As I'm at 100% I guess anything would be better.

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1 reply
garyretiredstatedetsgt | @garyretiredstatecop | 1 day ago
In reply to @jimchs "Gary. I have had 100% leakage since my restriction surgery in May last year. I have..." + (show)
@jimchs

Gary. I have had 100% leakage since my restriction surgery in May last year. I have had to put off a solution because of restriction which I had surgery for 2 weeks ago. Now I have to decide between AUS and, ProAct which can't happen until after summer anyway. I'm getting differing opinions from doctors depending on which surgery they perform. Either way I'll have to find a doctor in the Northeast to do whichever one.
Before PA how much leakage did you have and, what made you choose ProAct over AUS ?
As I'm at 100% I guess anything would be better.

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I had my prostate removed 30 years ago. I went through a couple pads, a day and more when I had a few drinks. Then, I didn’t like the options they had including the AUS because my sexual function was working good and I didn’t want to mess it up. In 2023 my sexual function was diminishing and my pad uses was five a day and a lot more when I had a few drinks. I didn’t like the AUS because you had to push a button and the extensive surgery involved and it will fail overtime from the research I read. I didn’t like the sling because if it did fail, it took a lot of surgery to remove it. I tried various clamps over the years, but they sucked. I really had to clamp them down to get it to work. I liked ProACT because it was the least invasive and could be removed in the office if there was an issue. It took my doctor only 20 minutes to install the balloons in outpatient. I’ve been pad free and it’s like normal. There is another link on this website where I explained everything about my surgery and history. Just type in the search box ProACT on this website and you’ll find it. Good luck whatever you choose.

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1 reply
jimchs | @jimchs | 23 hours ago
In reply to @garyretiredstatecop "I had my prostate removed 30 years ago. I went through a couple pads, a day..." + (show)
@garyretiredstatecop

I had my prostate removed 30 years ago. I went through a couple pads, a day and more when I had a few drinks. Then, I didn’t like the options they had including the AUS because my sexual function was working good and I didn’t want to mess it up. In 2023 my sexual function was diminishing and my pad uses was five a day and a lot more when I had a few drinks. I didn’t like the AUS because you had to push a button and the extensive surgery involved and it will fail overtime from the research I read. I didn’t like the sling because if it did fail, it took a lot of surgery to remove it. I tried various clamps over the years, but they sucked. I really had to clamp them down to get it to work. I liked ProACT because it was the least invasive and could be removed in the office if there was an issue. It took my doctor only 20 minutes to install the balloons in outpatient. I’ve been pad free and it’s like normal. There is another link on this website where I explained everything about my surgery and history. Just type in the search box ProACT on this website and you’ll find it. Good luck whatever you choose.

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I have another issue with the AUS. Yeah, at 65 years old I can operate. Who's going to know when to push the button when I'm 85/90 and, babbling incoherently and, pointing at my groin ?

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1 reply
peterj116 | @peterj116 | 22 hours ago
In reply to @jimchs "I have another issue with the AUS. Yeah, at 65 years old I can operate. Who's..." + (show)
@jimchs

I have another issue with the AUS. Yeah, at 65 years old I can operate. Who's going to know when to push the button when I'm 85/90 and, babbling incoherently and, pointing at my groin ?

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Wouldn't they then switch to ProACT?
One of the prerequisites for the AUS is the mental & physical functionality to use the the thing.
They should change for something else when that's no longer the case.

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oldbell | @oldbell | 21 hours ago

I had my PROACT done at Mayo Phoenix, AZ. So far am very happy.

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