Bob, WE know EXACTLY how you feel. The "leakers" that have had to deal with incontinance for several months....or years....in my case fully understand your concerns about the hardware.
At 4 pads a day you may get some relief from the sling. I would make sure you have an expert on the sling check your case out. In hindsight, the Doctor that did my sling has done hundreds of slings on women and several on men using other techniques or materials. I just happen to be his first using the AdVance Sling. I do not know why my sling did not help more than a few weeks?
As far as the AUS. My Doctor said he almost never sees a need for the double cuff if the AUS can be installed properly. I do not know where you live but if you are able to travel to Dallas Texas I would highly recomend my Doctor. I have not regretted my decision to have the AUS one bit. It gave me a normal life back after two years of constant worry about leaking out of a heavy pad and being wet all the time.
I can also be contacted at the e-mail address on my HW profile. I will also talk on the phone if you wish.
43 at Dx and Surgery (RRP)
PSA 5.7, Biopsy 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
RRP on Oct. 17, 2006 - Nerves on right side saved. All Lab's clear.
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.
ED workable and usable with Viagra.
Feb. 20th, 2007 - Feb. 4th, 2008 Cystoscope, Two Collagen injections,Second Opinion Consultation for Incontinance at OU Medical Center, Bio-Feedback training, Chiropractic, Accupuncture to try to resolve ongoing incontinance (4-6 pads a day) All PSA's 0.00.
Feb. 22nd, 2008 - Surgery to install the AMS AdVance Male Sling.
March 27th, 2008 - Sling not working, Little or no improvement.
April 18, 2008 - Collagen injection. Back to using 4-6 full pads a day within a week.
May 14, 2008 - Another collagen injection to try to Band-Aid the leaking for our June cruise. Will start making conusultation appiontments for AUS after we return.
July 14th, 2008 - AUS consultation with Dr. Morey at UT Southwestern (Dallas).
July 30, PSA 0.00.
Aug. 22nd, 2008 - AUS Surgery by Dr. Morey
Oct. 6th, 2008 - AUS Activation by Dr. Morey