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Any experiences with Artificial Urinary Sphincter (AUS) or Sling?

Posted by 160972 @160972, Jan 17, 2023

Hello. Just wondering if anyone has a long-ish term experience with either the sling or AUS. I had a partial nerve sparing prostatectomy in 2018. I have mostly recovered ED issues, but urinary incontinence persists (1-2 pads per 24 hours-fairly light). I now am looking at salvage radiation for BCR, and have read and been briefed that both issues will get worse down the road. I'm 62, very active-run, lift weights, etc. Could easily live with the current state, but concerned about getting worse. Thank you for any input

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jimgaudette | @jimgaudette | Sep 20 11:53pm
In reply to @peterj116 "I'm on waiting lists for an AUS. I've read that it's 90% successful & we'd only..." + (show)
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I'm on waiting lists for an AUS.
I've read that it's 90% successful & we'd only need one light pad per day, just in case.
They last 7-10 years, but I haven't read too many bad things about them.
Looking forward to it.

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All the best. Hope your quality of life improves substantially. Mine did.

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peterj116 | @peterj116 | Sep 21 1:30am
In reply to @jimgaudette "All the best. Hope your quality of life improves substantially. Mine did." + (show)
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All the best. Hope your quality of life improves substantially. Mine did.

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Thankyou.
I've had it done & quite used to it, now.
Very happy with it.

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melvinw | @melvinw | Sep 21 10:47am

I had RARP in 2015. Urinary incontinence was up and down for a few yers, but then around 2022, it persisted at 1-2 pads per day. My urologist had put the urethral sling surgery on the table from the get go, but said, only when and if I thought I was ready for it. Finally had the surgery in 2023. The change to complete continence was immediate and has stayed that way for over two years. No complications whatsoever. The stress incontinence was annoying, but not devastating. But now in retrospect, my QoL has been so much better for the past two years. I would do it all over again. And btw, my urologist had performed 100s, if not 1000s, of the sling operations. He knew what he was doing.

Fair warning, you will be sitting on bags of ice for a while with lots of swelling and black and blue. Not really painful, other than to look at.

Now this is all going to be tested again as a start EBRT for a local recurrence this coming Wednesday. I expect that my perfect urinary continence will be challenged, but we’ll see.

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