Welcome rogerbanana- First time poster-artificial sphincter question

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James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 1/20/2010 4:23 PM (GMT -6)   
Welcome to HW, sorry you had to come

In another thread :

i had surgery eight years ago to remove my prostate which was at 4 out of ten on the scale. it all went wrong and i then had radiotherapy and since has been benign . i go for test every six months. over here in the UK if you are over seventy they inject you every month and it stalls things until you die of natural causes.

i have had urinary problems ever since, and use a bag which is fine once you get used to it.(i tried pads but they are smelly and unreliable). they come in all shapes and capacities. they couple up to your penis via a thing called a conveen which is like a condom ,open ended which couples to the bag.
all this is non-invasive but am considering an artificial sphincter which is a plastic device opened by the insertion of a catheter . the downside i am told is it has a life of eight years before it needs replacement . can any one confirm this/give views on the whole idea ?

thanks for reading. roger.

Post Edited (James C.) : 1/20/2010 3:54:39 PM (GMT-7)


mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 672
   Posted 1/20/2010 4:56 PM (GMT -6)   
Hi Roger,

Sheesh, you've had a rough one. I can't give you any advice based on your experiences. There may be others here, that can.

Good hunting and may you resolve your IC.

Good luck and welcome. Lots of good people here.

Mike
-Nov/Dec 07, March 08 and Dec 08: Severe perineum pain . Septra/Bactrim for 8 months for diagnosed prostatitis.
-PSA start of 2008: 5.3..... PSA June of 2008: 7.3
-14 DRE all benign or nothing felt
-TRUS Biopsy Nov 08: 5 of 8 cores positive GS 3+3 or 6. 30-65%. Perineural invasion.
-General Health: pretty good, 5' 10", 180 lbs, slim.
-Open RP surgery: May 09 both nerve bundles spared. Bilateral lymph node dissection performed. Discharged 48 hours after surgery.
-Post Surgery Pathology: pT3a N0 MX, extraprostatic extension (EPE), stage III prostate cancer, lymph nodes clear, seminal vesicles clear, Gleason upraded to 3+4 GS 7. EPE within surgical margins. Other than prostate and EPE, all tissue removed negative for cancer involvement.
-Bladder control within 48 hours of catheter removal
-ED ongoing but improving significantly with Trimix at 7 months post-op. Oral ED meds didn't do much.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 1/20/2010 5:21 PM (GMT -6)   
Hello and welcome Roger. There are some men experienced in what ails you currently, hopefully they will see and answer you. Please stick around and keep us posted.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/10 - Corrective Surgery #4, and Caths #11 and #12 in at the same time


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 1/21/2010 10:34 AM (GMT -6)   
bump
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
24 mts: PSA's: .04 each test since surgery, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN

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