Hi Cowboy Bob.
I'm scheduled for AUS fitment in June after I return from an extended trip abroad. I discussed with my surgeon the 2 cuffs approach. For what it's worth, he says he favours one cuff initially as the larger area taken up by the 2 cuffs takes longer to recover after the operation, and in most cases unnecessarily uses a section of the urethra which may be needed in the event that further surgery is required in the future. He said it is not a big job to add the 2nd cuff if the single one proves unsuccessful. This surgeon has implanted 130 of these.
One benefit of my visit to this surgeon was getting fitted with a condom drain by his nurse. I've been averaging around 8 pads a day and am now 13 months since my operation. He says there is no prospect of me recovering continence with this loss at this stage, and encouraged me to try the condom drain as an interim measure until the AUS is fitted and turned on 6 weeks later. This has made a HUGE difference to my lifestyle. I'm surprised just how effective these things are, especially at how well the adhesive holds the condom on the penis. It holds well even when exercising - did a 2 hour run with no problems last Saturday. Might be worth investigating if you haven't already done so.
Looking forward to reading about your AUS fitment.
59 years old
Da Vinci surgery Jan 10, 2007, nerves spared, no cancer detected outside prostate
Pre surgery PSA 8, Gleeson 3+4=7, T1C, 3 out of 12 biopsies had cancer
Complication 1: urine favoured drain tube over catheter, extra time in hospital, catheter in for 2 weeks
Complication 2 - urinary tract infection - Citrobacter (hospital bug), 6 weeks antibiotics cleared up
Complication 3 - fungal growth on genitals (candida albicans) probably from antibiotics
Aug'07 Urodynamic study for continuing incontinence 8 pads per day; diagnosed bladder neck stenosis
Oct'07 CT scan indicated nothing abnormal; cystoscopy showed narrowing at anastimosis - dialated
Dec 07 averaging 9 pads a day, started acupuncture
Post surgery PSA tests: all undetectable