Happy AMS 800 AUS user asks how to use pump questions?

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Regular Member

Date Joined Oct 2009
Total Posts : 419
   Posted 8/27/2010 12:18 PM (GMT -6)   
I had my AUS AMS 800 activated Wednesday. So far, so good. For the most part I am dry with only a few drips happening occasionally. Even played 9 holes of golf and underwear was only a tad damp. Did not wear a pad.
Last evening before and after dinner I had some leakage. I suspect it was due to not emptying complety after urinating and before cuff closed back but not sure. I would appreciate any user tips and answers to the following questions:
When you uninate do you squeeze the pump one time or multiple times? Book says several times until completely flat.
How long do you wait until you empty or before pulling your pants back up after you finish urinating?
Do you use two hands or have you mastered a one handed technique? Little devil seems to slip between the fingers at times.
Do you sit or stand?
Do you wear a protective pad/liner to catch any residual urine? All the time or only when doing stressful activity.
Any hints, tips or tricks about efficient usage would be appreciated. Have seen some past posts on the above but it's been a while and need fresh information.
66 year old male
PSA jumped 3 to 8 Jan 2008
pt2b NO Mx with a Gleason score 3+3=6.
DaVinci RP, 7/23/08. Tumor type: Acinar
size 5.5 cm x 5.7 cm weight: 77 gm.
Incontinence & ED. Dry nights , no control during day.
FUDS and cystourethroscopy testing 10/09.
24 hr pad wt. 219gm. AUA sympton index 13/35=moderate
Virtue sling surgery 2/3/10 NYU med center
Appeared to help but gradually returned to pre surgery condition.
Back to 3-4 pads/day.
Latest PSA 4/1/10 negative.
AMS 800 artificial urinary sphincter implanted 7/8/10 at U of MI.
Links to my journey posts:

Regular Member

Date Joined Oct 2009
Total Posts : 419
   Posted 8/28/2010 7:27 AM (GMT -6)   

Regular Member

Date Joined Mar 2009
Total Posts : 89
   Posted 8/30/2010 10:36 AM (GMT -6)   

I have been activated for over a year. Here are my answers:

I squeeze the bulb one time for a few seconds. It takes about 30 seconds for the AUS to cycle closed. If my bladder still feels full, I'll squeeze again. For some reason, squeezing the bulb until it's flat and waiting until I am sure that the urethra has been shut back down doesn't appeal to me and seems to take forever, even though it's only a couple of minutes.

I still use two hands. I find it difficult to one-hand it, although I try from time to time.

Depending on what I am wearing and where I am "going" and how full my bladder feels, I will sit or stand.

I still wear a thin pad to catch my dribbles when I sneeze or cough real hard.

Diagnosed @ age 46 - September 1997
PSA 5 / Gleason 3+3
Seed Implant - January 1998 @ Trident Hospital, SC
PSA 2.4 - July 2007
PSA 2.7 - July 2008
PSA 3.0 - November 2008
Diagnosed @ age 57 - December 2007
Gleason 4+3
Salvage Prostatectomy & Colostomy - March 2008 @ MSKCC, NY
Suprapubic cathether installed - July 2008 @ Cleveland Clinic, OH
Urethral-Rectal Fistula Repair - August 2008 @   Cleveland Clinic, OH
PSA < .03 - Aug 2008
Penile catheter removed October 2008
Suprapubic catheter removed December 2008
Colostomy Reversal - January 2009 @ Cleveland Clinic
Urethral stricture removed - January 2009 @ Cleveland Clinic
(Total incontinence - 4 diapers & 6 - 8 pads per 24 hour period)
PSA < .03 - Jan 2009
AUS implant - May 2009 @ Cleveland Clinic
PSA < .03 - May 2009
AUS activated - July 2009
(Wearing a light pad daily.)
PSA < .03 - July 2009
Penile Implant - December 2009 @ Cleveland Clinic
PSA < .03 - December 2009
Penile Implant activated - February 2010
PSA < .01 - April 2010 
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