ProACT vs AUS (Artificial Urinary Sphincter): Which did you choose?

I have another issue with the AUS. Yeah, at 65 years old I can operate. Who's going to know when to push the button when I'm 85/90 and, babbling incoherently and, pointing at my groin ?

I had my prostate removed 30 years ago. I went through a couple pads, a day and more when I had a few drinks. Then, I didn’t like the options they had including the AUS because my sexual function was working good and I didn’t want to mess it up. In 2023 my sexual function was diminishing and my pad uses was five a day and a lot more when I had a few drinks. I didn’t like the AUS because you had to push a button and the extensive surgery involved and it will fail overtime from the research I read. I didn’t like the sling because if it did fail, it took a lot of surgery to remove it. I tried various clamps over the years, but they sucked. I really had to clamp them down to get it to work. I liked ProACT because it was the least invasive and could be removed in the office if there was an issue. It took my doctor only 20 minutes to install the balloons in outpatient. I’ve been pad free and it’s like normal. There is another link on this website where I explained everything about my surgery and history. Just type in the search box ProACT on this website and you’ll find it. Good luck whatever you choose.

Gary. I have had 100% leakage since my restriction surgery in May last year. I have had to put off a solution because of restriction which I had surgery for 2 weeks ago. Now I have to decide between AUS and, ProAct which can't happen until after summer anyway. I'm getting differing opinions from doctors depending on which surgery they perform. Either way I'll have to find a doctor in the Northeast to do whichever one.
Before PA how much leakage did you have and, what made you choose ProAct over AUS ?
As I'm at 100% I guess anything would be better.

I had my PROACT at University of Michigan Hospital Sept 2023 and still dry. Where did you have your surgery?

For 20 years I have worn a pad and it finally got to 6 or more pads a day Tena overnight pads so I chose to have PROACT a week and a half ago just getting over soreness but stopped incontinence about 99% and very happy have not had any UTI"S in 20 plus years.

Peter. You are getting ProAct. Where. I can't find anyone I a, comfortable with around NYC,

I had PROACT surgery Feb. 20,2025 and as of today after one adjustment I am down to one pad per 24 hours and used to do at least 4 to6 and walk home with wet pants many times. Today we went to Woodworkers Source and Lowes walking thru both business and no wet pants or change of pad. I am so happy with the outcome. As of 3:00 Pm today I have put in a total of 12,485 steps and in the past I would have had to change pads every two hours or have wet pants. I had to use Tena overnight pads because I had no control over the flow.