Posted 1/21/2010 7:58 PM (GMT -6)
I will be having a sling implanted February 3rd. I am still undecided and will choose either the AdVance or the Virtue sling. I am 16 months post RP and have been a constant leaker during the day but dry at night. After doing all of the urodynamics testing my Michigan doctor recommends that I am a good candidate for a sling. My local doctor does primarily InVance (bone anchored) slings and I hav decided against that one. I will travel to New York and have Dr. Victor Nitti do my surgery. He has large numbers of the Advance sling and about 20 Virtue. He is also one of the co inventors of the Virtue. There is not much data available on Virtue so as noted in the other post that one is more risky but seems to have great promise for those of us that are moderate to sever in terms of incontinence.
I have learned a great deal from this forum and have talked to some of the members about their experience. I will post results of my sling surgery once I return from NYC the second week of February.
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.