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Can anyone share their experience with ProACT (an AUS)?
My 71 year old husband had prostatectomy surgery in August 2023 followed by 6 weeks of radiation therapy which finished the end of January this year. Since the conclusion of the radiation he’s been left completely incontinent. He’s taking orgovyx. Kegals haven’t helped. His urologist wants him to continue with the hormone treatment until January and then test his PSA (it’s currently 0) to determine if he’s cancer free. To tackle the incontinence the urologist suggested a device called ProACT might work for him and could be done in January when he feels everything internal would be as healed as possible. Does anyone have this device and if so, has it helped you, would you recommend? Thanks for any feedback!
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About a year ago, I spent a hour talking with a urologist who specializes in helping people with incontinence. ProACT was not one of the half dozen techniques mentioned. I sure would like to hear more about its use and how people felt it worked.
It’s been around since being approved in 2015, so I am a little puzzled as to why it was not mentioned. I’m actually going to email that doctor and find out what they think about it.
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1 Reaction@lavender560, fellow member @docwatson posted a similar question here:
- Experience with ProAct implants (an AUS) for incontinence?
https://connect.mayoclinic.org/discussion/experience-with-pro-act-implants/
Here's a study from 2022:
- ProACT in the management of stress urinary incontinence after radical prostatectomy. What happens after 8 years of follow up? monocentric analysis in 42 patients https://pubmed.ncbi.nlm.nih.gov/35390245/
You may also be interested in this related discussion:
- Any experiences with Artificial Urinary Sphincter (AUS) or Sling?
https://connect.mayoclinic.org/discussion/longer-term-sling-or-aus/
How is your husband's recovery going?
Thanks for this information Colleen, it’s so helpful to have!
The recovery is going well except for the incontinence issue. Not to sound ungrateful, but this has been mentally and physically life changing for him. I can see the toll it’s taken on every aspect of his routine. We’re very hopeful that a device like this will restore some sort of normality! Thanks so much for checking in. Our experience with Mayo in general was tremendously positive and having access to this forum helps enormously.
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