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I am 79 and had my prostate removed 14 months ago. PSA still undetectable. Incontinence has been a problem from the start although I've seen some progress. At one time I was using 4-5 pads a day and now down to 2 with one being a night when I have very little leakage. Went through 40 sessions of pelvic muscle training which did help some but continue to experience stress incontinence. Recently had a urodynamics test which seems to indicate a recommendation toward AUS, which was a surprise since the urologist thought I was a candidate for a sling. Meeting with the urologist next week to discuss the test results and my options. For a few weeks I've been logging my leakage with the results defined in tablespoons. Some days if I've been sitting or laying for a good part of the day I will measure 3-4 tablespoons but if I am up more and been to the gym I will measure 10 tablespoons. The surgery was a huge success and I had no complications or side affects and am glad I chose surgery. The incontinence is a very different matter and I am just so tired of dealing with it, not just the leakage but the frequent trips to the bathroom. As my wife says I am consumed with it and it obviously affects our lives. Seems like the AUS has better results and many are glad they did it but compared to some my leakage is not nearly as much as others. Even thinking about waiting to see if my body heals further and it all goes away on its own. I guess that's my biggest decision....wait or do the recommended procedure based on the urodynamics test. Any comments are so very much appreciated.

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Replies to "I am 79 and had my prostate removed 14 months ago. PSA still undetectable. Incontinence has..."

@archtxt4u "tired of dealing with it"? I know exactly what that's like.
There is light at the end of the tunnel - and it's not a train.

The AUS would be a good solution. I had mine activated last July.
The sling is also an option - best for incontinence that's not too bad & being all internal, once it's healed, it just does it's thing, with no interaction required by you.

Your surgeon/urologist would know which of these is best in your situation.
But aside from occasional leaks, going from 7 pads a day to 1 is a life-changer.

@archtxt4u
You should probably consider a clamp in order to resolve the problem when doing things outside the house. I use it when I go to the gym, go somewhere for dinner, or going dancing with my wife.

I use a Wiesner clamp. You can keep it on for a couple of hours, but then they recommend moving it to another spot. It costs about $35 and comes with three different size options.