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Any experiences with Artificial Urinary Sphincter (AUS) or Sling?

Posted by 160972 @160972, Jan 17, 2023

Hello. Just wondering if anyone has a long-ish term experience with either the sling or AUS. I had a partial nerve sparing prostatectomy in 2018. I have mostly recovered ED issues, but urinary incontinence persists (1-2 pads per 24 hours-fairly light). I now am looking at salvage radiation for BCR, and have read and been briefed that both issues will get worse down the road. I'm 62, very active-run, lift weights, etc. Could easily live with the current state, but concerned about getting worse. Thank you for any input

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peterj116 | @peterj116 | Apr 26 7:44pm
In reply to @paulrn "I have had Holep surgery after which I had massive blood loss and since the surgery..." + (show)
@paulrn

I have had Holep surgery after which I had massive blood loss and since the surgery have permanent incontinence due to massive damage to the sphincter. I currently wear 6 pads per day as the incontinence is total. I have been advised I need an AUS cuff fitted through yet another operation but before then I want to investigate how successful this operation is, because I believe from most of the comments I have read this is not 100% guaranteed to stop the incontinence or even arrest it. I still have cancer left in the prostate which requires radiation after the AUS cuff is fitted. I have to say I am not happy with having his procedure or whether it will stop my incontinence as there appears to be more negative than positive responses to those who have had the AUS cuff surgery.

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I'm on waiting lists for an AUS.
I've read that it's 90% successful & we'd only need one light pad per day, just in case.
They last 7-10 years, but I haven't read too many bad things about them.
Looking forward to it.

REPLY
peterj116 | @peterj116 | Apr 26 7:47pm
In reply to @paulrn "I have had Holep surgery after which I had massive blood loss and since the surgery..." + (show)
@paulrn

I have had Holep surgery after which I had massive blood loss and since the surgery have permanent incontinence due to massive damage to the sphincter. I currently wear 6 pads per day as the incontinence is total. I have been advised I need an AUS cuff fitted through yet another operation but before then I want to investigate how successful this operation is, because I believe from most of the comments I have read this is not 100% guaranteed to stop the incontinence or even arrest it. I still have cancer left in the prostate which requires radiation after the AUS cuff is fitted. I have to say I am not happy with having his procedure or whether it will stop my incontinence as there appears to be more negative than positive responses to those who have had the AUS cuff surgery.

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BTW.... here's the difference
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grandpun | @grandpun | Apr 27 7:47am
In reply to @paulrn "I have had Holep surgery after which I had massive blood loss and since the surgery..." + (show)
@paulrn

I have had Holep surgery after which I had massive blood loss and since the surgery have permanent incontinence due to massive damage to the sphincter. I currently wear 6 pads per day as the incontinence is total. I have been advised I need an AUS cuff fitted through yet another operation but before then I want to investigate how successful this operation is, because I believe from most of the comments I have read this is not 100% guaranteed to stop the incontinence or even arrest it. I still have cancer left in the prostate which requires radiation after the AUS cuff is fitted. I have to say I am not happy with having his procedure or whether it will stop my incontinence as there appears to be more negative than positive responses to those who have had the AUS cuff surgery.

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Hi "paulrn",
I'm glad to be the poster child for successful AUS 800. Mine implanted March 2023 and it works very well. I do wear one very thin pad per day. Often it catches that 'last drip', sometimes nothing, occasional stress induced leak.
In 2 years only 2 unexplained and unexpected major leaks.
Life is normal with it and blessed that it solved my 6 to 8 pad per day incontinence.
Best of luck to you and pick a well experienced, talented surgeon.
(Hint: consider finding a 'gender affirming' surgeon. Though that specialty prompts lots of political and "values" distractions, IMneverHo, they know that surgical territory and techniques the best.)

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smc24 | @smc24 | Apr 27 2:03pm
In reply to @paulrn "I have had Holep surgery after which I had massive blood loss and since the surgery..." + (show)
@paulrn

I have had Holep surgery after which I had massive blood loss and since the surgery have permanent incontinence due to massive damage to the sphincter. I currently wear 6 pads per day as the incontinence is total. I have been advised I need an AUS cuff fitted through yet another operation but before then I want to investigate how successful this operation is, because I believe from most of the comments I have read this is not 100% guaranteed to stop the incontinence or even arrest it. I still have cancer left in the prostate which requires radiation after the AUS cuff is fitted. I have to say I am not happy with having his procedure or whether it will stop my incontinence as there appears to be more negative than positive responses to those who have had the AUS cuff surgery.

Jump to this post

My AUS, Boston Scientific's AMS 800 work very well after two or three years. Going from complete incontinence to 95% was a true life changer. For me, a wise and successful decision.

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