AUS activation and riding a bike

Posted by denkea @denkea, Dec 1, 2025

To those who've had an AUS implant. Did it take a while after activations to get used to it? How much of a learning curve was there?
How long until you were very comfortable with it?
Also were you able to ride a bike after, or how long after, the implant.

Thanks in advance.

-d

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Profile picture for coopersam2 @coopersam2

@denkea where did you get the bicycle seat and what is the name and type?

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@coopersam2
Here's a link to the seat I got. Still haven't received it yet. Should be the next day or two. If you want me to let you know how it works when I get it and try it let me know.
https://www.hugeoaks.com/products/hugeoaks-width-continuously-adjustable-bike-seat-comfortable-prostate-friendly-bicycle-saddle-for-mountain-bikes-road-bikes-city-bikes-exercise-bikes
-d

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Profile picture for denkea @denkea

@coopersam2
Here's a link to the seat I got. Still haven't received it yet. Should be the next day or two. If you want me to let you know how it works when I get it and try it let me know.
https://www.hugeoaks.com/products/hugeoaks-width-continuously-adjustable-bike-seat-comfortable-prostate-friendly-bicycle-saddle-for-mountain-bikes-road-bikes-city-bikes-exercise-bikes
-d

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@denkea Yes please. I am wanting to get one for my husband. He had AUS put in 6 months ago and I would love him to try his E-bike. Thank you so much.

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Profile picture for coopersam2 @coopersam2

@denkea Yes please. I am wanting to get one for my husband. He had AUS put in 6 months ago and I would love him to try his E-bike. Thank you so much.

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@coopersam2
Just used the Seat for the first time today. 7 mile ride and I gotta say there is absolutely no pressure on the perineum. I think there is more pressure sitting on the couch watching tv at night.
One note though. It is not a comfortable seat at all. I would actually say it was uncomfortable. They even say that it'll be two or three weeks before you get used to the weight on your sit bones.
All said and done it's a plus from me.

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Hi just joined the group. After prostatectomy, nerve bundle, seminal vessels, and 35 lymph nodes removal with gleason 9 and high PSA lupron and radiation treatment I have been thinking about the AUS surgery. I can usually get by on 1 thin pad for the day unless doing a lot of bending over without bending the knees. I try to do my kegal exercises every day which I think helps. Here's my concern I do a lot of bike riding over a 1,000 miles in 2025 and am wondering even after I heal up from surgery how that is going to affect my riding? Thinking about retiring next month after turning 70 and might try for a couple of thousand miles of bike riding. I'm looking for guys experiences riding after surgery and down the road a couple of years. Wondering if I should just be thankful for 1 light pad a day and keep on biking? Let me know what you think. Thanks

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Anytime I sit on a hard surface like a stool I leak. Coughing also let's it flow. You will be able to feel the tubing and especially the cuff right where you sit. Maybe others have done bike riding but I can hardly sit and not a bike.

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Profile picture for 45champ @45champ

Hi just joined the group. After prostatectomy, nerve bundle, seminal vessels, and 35 lymph nodes removal with gleason 9 and high PSA lupron and radiation treatment I have been thinking about the AUS surgery. I can usually get by on 1 thin pad for the day unless doing a lot of bending over without bending the knees. I try to do my kegal exercises every day which I think helps. Here's my concern I do a lot of bike riding over a 1,000 miles in 2025 and am wondering even after I heal up from surgery how that is going to affect my riding? Thinking about retiring next month after turning 70 and might try for a couple of thousand miles of bike riding. I'm looking for guys experiences riding after surgery and down the road a couple of years. Wondering if I should just be thankful for 1 light pad a day and keep on biking? Let me know what you think. Thanks

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@45champ
You don’t mention how long it’s been since your surgery. You have to give it at least four or five months to see if you can become totally a continent.

They usually will do an AUS if you use multiple pads a day. Do you have to speak to a urologist that specializes in incontinence?.

Some bike riders say this makes the difference

Bicycle seat that works well with AUS and prostate cancer patients
https://www.hugeoaks.com/products/hugeoaks-width-continuously-adjustable-bike-seat-comfortable-prostate-friendly-bicycle-saddle-for-mountain-bikes-road-bikes-city-bikes-exercise-bikes

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Profile picture for budisnothome @budisnothome

Anytime I sit on a hard surface like a stool I leak. Coughing also let's it flow. You will be able to feel the tubing and especially the cuff right where you sit. Maybe others have done bike riding but I can hardly sit and not a bike.

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@budisnothome
Maybe this will help while on the bike.

Bicycle seat that works well with AUS and prostate cancer patients
https://www.hugeoaks.com/products/hugeoaks-width-continuously-adjustable-bike-seat-comfortable-prostate-friendly-bicycle-saddle-for-mountain-bikes-road-bikes-city-bikes-exercise-bikes
Other people here probably will comment.

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Profile picture for jeff Marchi @jeffmarc

@45champ
You don’t mention how long it’s been since your surgery. You have to give it at least four or five months to see if you can become totally a continent.

They usually will do an AUS if you use multiple pads a day. Do you have to speak to a urologist that specializes in incontinence?.

Some bike riders say this makes the difference

Bicycle seat that works well with AUS and prostate cancer patients
https://www.hugeoaks.com/products/hugeoaks-width-continuously-adjustable-bike-seat-comfortable-prostate-friendly-bicycle-saddle-for-mountain-bikes-road-bikes-city-bikes-exercise-bikes

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@jeffmarc I was diagnosed in 2016 surgery in 2017 Lupron 2017 -2020 radiation 2018

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Profile picture for 45champ @45champ

@jeffmarc I was diagnosed in 2016 surgery in 2017 Lupron 2017 -2020 radiation 2018

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@45champ
Six years after radiation and nine years after surgery, I started having Incontinence. It did get progressively worse. I was able to get by on one thin pan a day at the beginning. Laying down, I didn’t leak it all even today. Standing or sitting, I leak pretty constantly. Fill a thick pad in 2 hours. Sounds like you’re in my early year problem, But it can be quite frustrating when you can’t get out without worrying.

You have to speak to a urologist that specializes in incontinence?. You can discuss putting in the AUS. The damn voice recognition adds the word “do” Sometimes when I just say you, Very annoying.

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ok thanks for the info. I am scheduled for AUS in the spring. I have a great urology team at the Mayo Clinic and credit them for me being alive and doing good.

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