To all you guys that have done the AUS. What caused you to go that route instead of a male sling? I am scheduled for surger end of January and was about ready to do a sling based on Dr. recommendation. She recommends either AMS InVance sling or new one Coloplast Virtue...since I an considered "moderate incontinence". After reading of some of the problems in other threads and then the very positive comments on the AUS on this thread I am now leaning that way.
Can anyone give me some more comments on how the AUS "feels" after inserted. How long to recover from surgery. Do you even notice it is there after your body adjusts. Any restrictions regarding activity, lifting or exercising etc.
Thanks in advance for any helpful comments.
64 year old male in excellent physical condition.
No serious illness of any kind.
PSA jumped from 3 to 8 in one year between annual physicals.
Biopsy/pathology confirmed postate cancer.
pt2b NO Mx with a Gleason score 3+3=6.
DaVinci prostatectomy, Robotic surgery July 23, 2008.
Tumor type: Acinar
size 5.5 cm x 5.7 cm weight: 77 gm.
Largest tumor nodule: 1.3 cm
All surgical margins were negative.
Seminal vesicles uninvolved by tumor.
Urinary incontinence incurred immediately followin surgery. Dry at nights but no control during day. Tried drugs imipremine and detrol but no help and caused side effects so stopped them.
Unable to obtail erection from beginning. Viagra and Cialis were used in low dose but caused headache so discontinued. Using pump for erection effectively with rubber clamp.Very loving relationship with wife and we are both fine with this situation as it is.
Underwent physical therapy and kegal exercises with no results for incontinence.
Uideo fluoroscopic urodynamics and cystourethroscopy testing in Oct. 2009. Resulted in recommendation for surgery to insert InVance Male Sling System for incontinence cure. Alternative is new sling called Virtue by Coloplast. Planning this surgery for January 2010.