What was your recovery like for Artificial Urinary Sphincter (AUS)?

Posted by bwjb @bwjb, Feb 2, 2025

What was your recovery from the AUS procedure like? If you had previously had radiation treatment for prostate cancer, how did that affect the AUS procedure?

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

Profile picture for peterj116 @peterj116

At 2 days post-op, everything will be uncomfortable.
Things should *start* to settle down after around 2 weeks.
In some ways, recovery from the AUS surgery was almost as bad as the prostatectomy - for a while.

The device is activated in 6 weeks, but until then, it's swelling, lots of bruising & discomfort.
Horrible, but it's worth it in the end.
I went back to the surgeon after 2 weeks - even though he didn't want to see me until 6 weeks - because I was concerned about mainly the healing of the incisions.
Particularly the perineum one - it looked lumpy & gnarly. It didn't look like it was healing properly at all.
But I eventually got in to see him & he had a look & said it was fine.
Turns out he was right. By the 6 week activation mark, the lumpy incision had calmed down & healed nicely.

So I know what you mean. It looks & feels like it won't heal properly or the discomfort will never end.
But by activation time, it'll all be fine.
Been there.... done that... in June.

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@peterj116
Thanks for the support.
I had my Prostatectomy in 1995 and it was a nightmare. But that's another story.
I know pain from surgery. I had two knee replacements and that is one painful recovery.
I was just wondering what were the immediate effects right after surgery.

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Profile picture for denkea @denkea

@peterj116
Thanks for the support.
I had my Prostatectomy in 1995 and it was a nightmare. But that's another story.
I know pain from surgery. I had two knee replacements and that is one painful recovery.
I was just wondering what were the immediate effects right after surgery.

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@denkea Yeah, the recovery isn't fun, but by activation time, it should all magically heal.
Until then, just try to rest as much as you can. But know that the days of multiple pads will soon be over.

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Profile picture for denkea @denkea

79 y.o.
I had AUS implant two days ago and would like to hear from others what you experienced immediately after surgery when discharged.

Also How long did you have before you didn't need a scrotum supporter (Jock Strap)?

I have:
Perineal discomfort.
Swollen testicles
Abdominal bloating
When urinating half way done I have to push to void completely.

They sent me home with Celebrex/Bactrim and Gabapentin. One day on the Gabapentin and then off immediately. It made me spacey and unstable. I wouldn't have passed a field sobriety test and I don't drink and didn't want to have a fall risk.

I'd love to hear others immediate after surgery effects from others.
TIA

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@denkea, I moved your question about what to expect after surgery for AUS to this similar discusson:
- What was your recovery like for Artificial Urinary Sphincter (AUS)? https://connect.mayoclinic.org/discussion/recovery-timeline-following-aus/

See all here: https://connect.mayoclinic.org/group/prostate-cancer/

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