Incontinence -- Considering Male Sling Procedure

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New Member

Date Joined Jul 2009
Total Posts : 7
   Posted 7/3/2009 10:13 PM (GMT -6)   
Hello All....I'm new to this forum but have been reading some interesting and helpful posts. I had prostate surgery about 4 years ago and I still suffer incontinence issues. I wear a full adult diaper (Depends) every day and sometimes leakage is worse, especially when I am active. I have stress incontinence and mostly suffer when bending down or coughing or sneezing. I'm seriously considering having the Advance Male Sling procedure done up to Strong Memorial Hospital in Rochester, NY, where I had my laproscopic robotic surgery done (Dr. Jean Joseph). Dr. Mayer would be the doctor doing the procedure. Can some of you offer opinions and background information about this procedure--anyone have this done recently and how has it worked for you? Thanks for any information.  -Bill

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 7/4/2009 12:05 AM (GMT -6)   
Hi Bill,
Welcome to HealingWell. I am sorry you have had such a long go with incontinence. We have had varying results in such cases here. My friend KW was 43 when stuck with an open faucet, as he called it. He eventually tried the sling, then the AUS procedure which was successful for him. He didn't wait so long to address it with intervention, but he sure did endure quite a ride with it. Many here will gave better advice than I can. After surgery, HT, and radiation, I am still doing quite well with incontinence. Again, welcom. Perhaps adding your age and hopefully good cancer stats, may help others to help you...

 Age 47 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 11, 2009): <0.1
My Journal is at Tony's Blog  

Veteran Member

Date Joined Nov 2006
Total Posts : 883
   Posted 7/4/2009 2:21 PM (GMT -6)   
    Bill,  Just curious about the actual rate of your leaking.  I was using 6-8 full depends Guards for Men.  I basically had no control at all.  I could feel the leaking all the time while standing or moving around.  As for my Sling Adventure I knew going into it I would probably not get total relief but I was thinking if I could get down to one or two pads a day I would be happy considering where I was before!  Unfortunately I did not get any long term relief.  After the proceedure I did notice some significant change.  But as time went on and the swelling all went down the leaking came back to where it was.
    I will say that for me, the proceedure was more painful and the recovery was longer than what I was expecting from the information that was on the video from the manufacturer.
    Check out my links below to get a more detailed story on my Journey.
    Feel free to send me a e-mail if you would like more information. I am even willing to talk on the phone if you wish.
    Good Luck,
    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
     Dec. 2006 – Oct. 2008 Cystoscope, Two Collagen injections,Second Opinion   
    Consultation for Incontinance at OU Medical Center, Bio-Feedback       
    training, Chiropractic, Accupuncture , AdVance Male Sling, Two Collagen injections,
    AUS Installed and Activated (Dr. Morey at UT Southwestern Dallas TX)  All to try to 
    resolve incontinence (using 6-8 Depends Guards a day)

    To Date All PSA's 0.00.


Regular Member

Date Joined Aug 2006
Total Posts : 148
   Posted 7/7/2009 2:24 PM (GMT -6)   
I just had the sling installed 6/16/09. I created a couple of threads about it. Feel free to contact me in the manner you are comfortable with if you'd like additional info.

DX 8/24/06, Gleason 6, PSA 3.32, stage T1C
age 48 at the time, da Vinci on 10/20/06
Last PSA was ZERO
6/16/09 AdVance Sling installed

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