Salty, I was leaking at the rate of 8+ full pads a day when I decided to try the AdVance Male Sling first. I too was worried about all the plumbing. I was thinking if I could even get a 50% reduction in leaking I would be happy for a while. My Sling was done by my local Doctor. I'm not saying this is the reason I go no relief, but mine did not take at all. That is why I opted for the AUS. As far as working the device, It will take a firmer push than the model in the office. But overall it works rather easy. I normally only need one good squeeze of the pad to urinate. I also use a light women panty liner to catch the drips and dribbles.
I can not tell you what to do but you can't go wrong going to Dr. Morey. If you have any more questions or would like to talk on the phone send me a e-mail at the address that is listed on my HW profile.
Good Luck, KW
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