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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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lsk1000 | @lsk1000 | Jun 20 3:14pm
In reply to @mantismike369 "I am 85 yr old male. I had seeds and external beam radiation in 1999. I..." + (show)
Profile picture for mantismike369 @mantismike369

I am 85 yr old male. I had seeds and external beam radiation in 1999. I have a suprapubic catheter because of urethral strictures. I am now incontinent. I am considering an AUS or an ileal conduit. Please share anything that might help me. Thank you. Michael

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If you haven’t already gotten the AUS please see my comment on June 19, 2025 about incontinence clamps.

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lsk1000 | @lsk1000 | Jun 20 3:21pm
In reply to @soflada "Have had an AUS 800 for a LONG time and I will share the good/bad as..." + (show)
Profile picture for soflada @soflada

Have had an AUS 800 for a LONG time and I will share the good/bad as I've learned them. It is THE gold standard for continence after prostatectomy. Unfortunately, the design has a built in problem that will inevitably surface in the future--the cuff around the urethra will deform that delicate tube requiring either a "double cuff" or a replacement. My experience is that I had a very, very good 5-6 years with the first installation and a pretty good 3-5 years with the double cuff. Where I am right now, no point to replacing it again (due to advanced metastasized cancer) but I would not hesitate for a moment if I were in a better situation. Make sure you have a complete and thorough discussion with your urologist of the plusses and minuses involved. However, to my understanding, the AUS 800 is the only alternative to pads. BTW, don't be surprised if your urologist says they want no part of this--I had one that did so.

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Sorry to hear about your metastasis. There are mamy new treatments as you probably know. See tne EMBARK study. For theincontinence look into clamps. Works wonderfully for me,

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