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.

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I'm sorry you are going through this and your doctor didn't give you the information to help you get through this tough period. I have a great physician and was lucky to receive great instructions. To give you a little background, I am 58 and had an RP in October of 2023 and was completely incontinent for nine months until I was healed enough to get the AUS implant.
Try to be patient...I know from experience that seems impossible. It will get better. I had a lot of swelling and the lumps lasted for at least a 3-4 weeks and slowly decreased over the following weeks. Although everyone is different, I think my tolerance for pain is lower than most. That being said, my doctor was adamant that I walk as much as possible to help with the blood flow and healing.
As far as pulling gently on the device, if you can find the "top" of the bulb where the two fluid lines come in (this is just above the activation button) that's the easiest place to pull down from. You don't have to pull down much at all. My doctor told me that this was to help prevent it being drawn up and from scar tissue forming early making it more difficult to use later on after healing. The activation button is really pretty robust, I would worry about triggering it, just try to locate those tubes. Please let me know if I can provide any other information.
If you would like to talk, I would be happy to call you just private message me with your phone number.
Good luck, it will get better.

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I got the AUS 5 months ago. Not very painful recovery and the results are amazing! After nine years of 5 or 6 pads a day, this is wonderful. I also got an IPP at the same time and it is equally wonderful. (3 1/2 years of ED caused by ADT)

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My story is similar to @jimgaudette's.
After 12-ish pads a day for a couple of years, I had my AUS about two or three years ago. It's been wonderful,. I always wear a pad (Depends) for piece of mind, going through 1 or 2 a day while maintaining a very active lifestyle.

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Profile picture for jimgaudette @jimgaudette

I got the AUS 5 months ago. Not very painful recovery and the results are amazing! After nine years of 5 or 6 pads a day, this is wonderful. I also got an IPP at the same time and it is equally wonderful. (3 1/2 years of ED caused by ADT)

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After the 6 week recovery period, I was able to do everything that I did before, including strenuous exercise. Start slow, but don’t hold back as exercise is really important to quality of life. BTW I am 74 years old.

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Profile picture for smc24 @smc24

My story is similar to @jimgaudette's.
After 12-ish pads a day for a couple of years, I had my AUS about two or three years ago. It's been wonderful,. I always wear a pad (Depends) for piece of mind, going through 1 or 2 a day while maintaining a very active lifestyle.

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I use one to maybe two of the very thin pads per day. Before when we went on vacation, I needed one large suitcase just for the pads! Also, I’m not being hassled by TSA anymore

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Profile picture for jimgaudette @jimgaudette

I use one to maybe two of the very thin pads per day. Before when we went on vacation, I needed one large suitcase just for the pads! Also, I’m not being hassled by TSA anymore

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Also, not peeing during or immediately after intimate contact is a VERY big plus.

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I have heard wonderful things about the AUS by people who had it “installed”.
But it you are like me who is not a candidate for an AUS due to an urethral structure (obstruction caused by radiation) or if you just don’t want to go through pyhet another procedure I have good news.

I have been wearing an incontinence clamp for severwl years. (Many brands available on Amazon). I wear it 18-20 hours a day, with no circulation issues, and remove it at night. There are no limitations to physical activity. Swim, bike, run, weight lift. Forget it’s there most of the time, I suggest wearing a pad to avoid having to clamp it too tight. I go through one a day. Buy several brands to find the best fit. It was a life saver because the other options of multiple pads a day or the external catheter and collection bag tied to the leg are frankly disgusting, in addition to being restrictive of the cloths you csn wear and the things you can do.

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Profile picture for tuckerp @tuckerp

Thanks guys. I joined this site 6 months ago to get more information about incontinence. My Dr is at Mayo phx. He has suggested the AUS. I was feeling a little disappointed because many of the comments say it still leaks. It may not last forever. Other comments that made me hesitant. My LARP was Jan 2020(not done at Mayo). I have leaked since the catheter came out. I immediately started using a condom catheter. The only thing that saves me is that I can sleep without leaking. I have worn the CC every day for 5 years. The issue is that when you wear it you dont think about holding your pee. So I have not practiced a kegel in 5 years. I just decided that I should try that first. I need to find a specialist. I leak about 40oz a day. Impossible to wear pads.

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Look for my recent (June 20, 2025) post about an incontinence clamp. You sound like a perfect candidate. It works wonders. Do anything, wear anything, go anywhere. Available on Amazon. Try several for most comfortable fit and efficacy.

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Profile picture for tonytone @tonytone

I would love ask questions about your experience with AUS. My urologist is recommending this route for me. I will give some back. I'm 56 with a gleason 9 stage 4 prostate cancer. 2022 radical prostatectomy. To my surprise I had to get my sigmoid colon removed prior to radiation due to my diverticulitis being severe. I had 40 rounds IMRT radiation this when urgency started. 2yrs of Zytiga and 3 years Eligard added to recipe. Urgency got worst after 6 months. They said it would get better, never happened. 44 round Hyperbaric Oxygen Therapy. Nope this didn't help. Urology ran more diagnostic test. Found out my bladder shrunk. Now two rounds botox to help stretch the to hold more volume and final recommendations AUS.

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See my comment June 20, 2025 on incontinence clamps.

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Profile picture for peterj116 @peterj116

Bookmarking this thread, because it looks like I'm having this done next year.
Lots of good notes here. Thankyou for sharing your experiences & tips.

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Please see my comment on June 20, 2025 on incontinence clamps if you haven't already done the AUS.

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