You are getting good advice from the others but I will add a couple more things I learned here. I am a constant leaker when standing or moving around. If I am setting or laying down I can get to the can in time...usually. If you have not done ask your doctor about
FUDS/urodynamics testing. This will determine if you are a candidate for a sling or not. Also, if you have not done it go to the topic AdVance Male sling and read the posts. You will see that if you do a sling and it does not work you can still have the AUS. If you do the AUS first the sling is not an option. Also, I have read that the the AUS may need to be replaced after 8-10 years so consider that as well given your age. Seems like those with the AUS like KW are very satisfied with the sling and you are pretty well guaranteed that this will fix the leakage.
Based on the FUDS/urodynamics testing and my pad weights of about 200 grams my doctor feels I am a good candidate for a fix with a sling. I will have mine done at NYU next Wednesday and will post the results on this forum as I go throught the process.
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.