Question for RipandBurn - Bladder Sling?

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Veteran Member

Date Joined Nov 2006
Total Posts : 883
   Posted 1/6/2008 10:01 PM (GMT -6)   
    Rip,  I saw that you had a bladder sling done at the time of your surgery.  Can you give us any insight as too why your Dr. did this?  Did he suspect incontenance problems?  I am one of the incontenant guys here (15 months).  THe Dr. I am seeing for incontenance believes I will need the AUS instead of the sling.  I am thinking I would rather have the sling.  Even if I had to do one, then go back and have the AUS done if that did not work.  I just do not like the idea of all the plumbing being inside me for another 30+ years if I am to live that long!
    I would appreciate any information you may have.
    PSA 5.7 - Discovered during Annual Physical with Family Practice Dr.
        Biopsy Sept. 27, 2006 - Diagnosis Sept. 29 - 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
        RRP on Oct. 17, - Nerves on right side saved.
    All Lab's clear.  No Cancer outside prostate
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00
    Office visit on Jan. 19th due to continued excessive urine leakage.
    Feb.20th Cystoscope and 2nd Post Op PSA. Another 0.00.....:)
    Dr. said everything looks fine.  Continue to work Kegeal's. Leaking appears to have improved  after Cystoscope?!?!?!  Down to 3-4 pads per day!
    March 1st  Leaking has crept back up to 6 - 8 pads a day ??????? 
    March 29th Collagen injection into sphincter / bladder neck area to control excessive leaking.  Worked for a couple of days then back to leaking.
    April 17th (Six Months Post Op) 2nd Collagen Injection to control excessive leaking.  Leaking started back next day at work!
    May 14th Second Opinion about my leaking and Options at OU Medical Center.  After reviewing my records the Dr. feels I will probably need some surgical intervention to stop my leaking.  But did agree to try Bio-Feedback and work hard on the Kegeal's first!
    May 30th Follow up with my Dr. and 3rd Post Op PSA 0.00 agian!!!
    June 1st Start Bio-Feedback to try to control my leaking.
    Oct 17, 2007 1 year Post Op - Still fighting moderate / Severe incontenance. Using 4-6 pads a day.  Erections usable....sometimes!  Almost like before with 100mg Viagra!
    December 5th, 4th post op PSA 0.01!?!?!?   Is that still a 0?  Still leaking!!!!

Regular Member

Date Joined Aug 2007
Total Posts : 125
   Posted 1/7/2008 10:46 AM (GMT -6)   
My surgeon felt that after all the surgeries he had done, he saw that generally incontinence was greatly decreased when a bladder sling was installed. He routinely installs a bladder sling in all of his patients who have radical prostatectomies. Frankly, I am glad he did. I don't know how much it actually helped, but I am sure it did not hurt. Let's say, I would hate to be opened up again to have this procedure done. I had very little leaking right from the start. I used a couple of the triangular shaped light pads each day for 11 weeks. I really did not need two per day, but did not like the idea of wearing it all day....if you know what I mean. I never really had more than a few drips per day. If you are interested, and would like to contact my surgeon, his name is David Hollensbe in Indianapolis, Indiana.
51 years old
T1c 3+3=6
DaVinci July 16, 2007
largest cancer .2mm
Bladder Sling installed during prostate removal
nerve sparing with both nerve bundles intact
all cancer contained within prostate nothing near margins
PSA after 6 weeks <0.1 - undetectable
PSA after 4 month .07 - undetectable
11 weeks post-op - no more pads

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