Glad to hear that you are doing well following the surgery to remove the Virtue and replace it with AdVance. I was going to call you but decided to wait until after the holidays.
I am still facing a decision about which sling to have done on January 29th. I contacted Dr. Nitti at NYU who was one of the inventors of Virtue. He was very candid that it was still unproven and very little data available. However, I have been in contact with ronjon who I met on this forum and he had Virtue installed by Dr. Nitti about four weeks ago and is doing great. Dr. Nitti made a slight change to the procedure by adding a "stitch" and he feels this will help the results a great deal. I am asking my Dr. at U of Mich. to contact Dr. Nitti to get his latest recommendations.
Do you have any new information as to why you had all of the pain with your Virtue? What was the potential cause of the problems? Was there something unusual about your RP surgery or anatomy that added to the problem?
I also tried to contact Coloplast and was not able to get any information.
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.