Can someone help me about life after AUS 800 implant?

Posted by rodneyverrill @rodneyverrill, May 8, 2024

This is my first question/post so please excuse me as I a new at this. I am 58 and have had an RP in October of 2023. My prostate was 155 grams and since the procedure I have been left essentially incontinent using 7-9 large pads a day. Although this has been difficult, I feel fortunate my psa has fallen to .008, a number my doctor tells me is considered undetected.
I have tried PT with very little results, my surgeon recommended an AUS, so this coming Monday I will have surgery to have this installed. I have read many of the posts within the prostate cancer section, but I am still curious about discomfort after the 5-6 week healing process and "regular activity like swimming, golf, and more strenuous activities like mowing and lifting firewood. I am of course second guessing my decision but would be appreciative of any feedback any of you have.

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

Profile picture for geno2853 @geno2853

@lsk1000 Thanks. Turns out it is the Wiesner clamp that I have. Didn’t realize there was an upside down issue. I’ll look into that.

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@geno2853 Yes do that. Google the anatomy of the penis. The blood vessel is on the top. Don’t want to shut that off. That gets the flat side of the clamp. The underside is the urethra which gets the side with the protrusion to stop the urine flow.

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Profile picture for geno2853 @geno2853

@grandpun can you say more? I’m an avid cyclist. If I were to have an AUS, would it keep me off the bike? Now, I go through a pad every 1-2 hours, and I definitely don’t drink enough water. Thanks.

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@geno2853
I'm no help about cycling. I just don't do ride bikes.
I've only had inadvertent bad leaks, probably from accidental 'button press', a couple times in 3 years with the AUS. That makes me think they should be pretty reliable in most situations.
Hope you find a good approach whether AUS, clamp, or other.

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Profile picture for geno2853 @geno2853

@grandpun can you say more? I’m an avid cyclist. If I were to have an AUS, would it keep me off the bike? Now, I go through a pad every 1-2 hours, and I definitely don’t drink enough water. Thanks.

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@geno2853
I have used a Schwinn Airdyne (upright stationary bike with arm movement) for approximately 10/15 years.
Had an AUS implanted in November 2025. Activated in December.
I had a conversation with my surgeon and he said as long as I can keep pressure off the perineum I should be ok with biking.
This is the seat that I purchased.
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
It's worked fine for me. I mentioned in another thread that I felt it put less pressure on the perineum than watching tv on the couch.
One caveat. This seat is NOT comfortable at all and takes a while using it to get used to it.

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Profile picture for geno2853 @geno2853

@pmccharles you’re over a year out now. How’s it going? I’m an avid cyclist. How would an AUS impact my cycling? Would it keep me off the bike? Thanks.

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@geno2853 Hi, I believe we’ve spoken before recently. Before making any decisions about surgery try the Wiesner urinary clamp, or any other clamp that you might prefer. It can be worn during all physical activities including cycling and you won’t even notice it. I wear mine all day, off at night plus one pad a day, which is what many with an AUS use.

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Profile picture for geno2853 @geno2853

@lsk1000 Thanks. Turns out it is the Wiesner clamp that I have. Didn’t realize there was an upside down issue. I’ll look into that.

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@geno2853 the weisner clamp also comes with a couple of different inserts. One is more aggressive than the other. I found the gym and lifting weights to much for the clamp to handle. I use a condom catheter. Takes the pressure off leaking.

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Why do I hear sound when I move my eyes side to side in my ears?

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Profile picture for bonjas @bonjas

Why do I hear sound when I move my eyes side to side in my ears?

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@bonjas
Is it the sound of silence?

That’s really strange if it actually happens. Time to see an ophthalmologist.

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I went for my Aus activation today everything went well no drips instantly came back home feel the urge to pee I pressed the pump as instructed take a leak and still no drips after urinating and its been 7 hours now I checked the diaper im wearing just incase of a leak and there is none, the only thing about this it's feel awkward holding the pump with one hand and the other hand to squeeze, maybe I will get use to it 🤪

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Profile picture for bonjas @bonjas

I went for my Aus activation today everything went well no drips instantly came back home feel the urge to pee I pressed the pump as instructed take a leak and still no drips after urinating and its been 7 hours now I checked the diaper im wearing just incase of a leak and there is none, the only thing about this it's feel awkward holding the pump with one hand and the other hand to squeeze, maybe I will get use to it 🤪

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@bonjas Well done on getting through that.
I've never used both hands - I use 3 fingers to pull the pump to the side, then my forefinger & thumb to press the pump.
I completely ignored instructions to hold the device by the tubes.

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I guess I will find out what works in four weeks when they turn it on. It feels like I can do it with one hand. Testing out possible techniques since I will have to really do it soon.

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