Small Drip After Advance Sling Operation -- What Is Next -- Can A SLING Be Adjusted?

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LuckyDog
New Member


Date Joined Mar 2009
Total Posts : 8
   Posted 10/25/2010 3:38 PM (GMT -6)   
(I found a thread to post a reply on, but left it to update my profile. I forgot to drop breadcrumbs, and have not been able to find it again.)

I had the ~moderate AdVance sling operation (the one that doesn't use any screws). Is there an way to "tweak-adjust" the sling, to put more pressure against the urethra?

The drip rate is only 5 – 10+ drops per day, enough to make yellow spots on my shorts; or, weirdly, if I sleep real soundly, A LOT MORE can leak out. I do take a sleeping pill at night, but most of the time my body wakes me to void -- I could've been dog-tired when it happened.

After the prostatectomy, I could pee like a racehorse. After the sling operation, I still have a real healthy stream. BUT, I have to go when the urge hits – I can’t put things off with a full bladder. And, it has taken time to get used to a HAIR-TRIGGER. I have to be cognizant of my situation – of my aim. Even at 3-½ months post op, especially when sitting, I have to hold my aim steady. I have peed on & above the seat, and between the seat and toilet. (I think everything in my bathroom has my DNA on it. When all this started, I made the decision not to bring anything into the bathroom with me to read.)
I have to be aware of PREMATURE PEEEUURRATION!)

I wear a pad at night, and sometimes during the day. I was hoping that was behind me.

I’ll find out if there are any options at my next doctor visit, which is in December -- for a digital exam! I thought that was over with, too! It seems cancer cells can return to the site/scene of the crime. Go figure!

Has anyone had a sling adjusted?
Age: 64

10/13/08. Prostate biopsy.
12-30-08. Prostatectomy
8-12-10. AdVance Moderate Sling (no screws required for this one).

tallguy
Regular Member


Date Joined Oct 2009
Total Posts : 417
   Posted 10/25/2010 6:43 PM (GMT -6)   
From what I have been told once a sling has "healed" into place it is pretty much in place and not going to be moved. Just an opinion from what I learned while investigating.
If you only leak a "few drops" consider yourself lucky. There have been several comments on various threads about the definition of "dry". In most clinical studies and stuff doctors quote they often consider getting down to a pad or so a day to be a definition of dry. I am willing to bet that a very high percentage of sling users and even AUS users will still have "some" leakage particularly with sneezes, coughs, golf swings etc. Many if not most doctors are not totally candid about their definition of dry.
Even with my AUS I still wear a light pad to catch those drops which I think are more from residual drops in the urethera after peeing.
 
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.
AMS 800 activated 8/25/10 Dry for first time in 2 years.
Links to my journey posts:
http://www.healingwell.com/community/default.aspx?f=35&m=1847812
http://www.healingwell.com/community/default.aspx?f=35&m=1710681

LuckyDog
New Member


Date Joined Mar 2009
Total Posts : 8
   Posted 10/25/2010 8:03 PM (GMT -6)   
Many thanks, TG.
I called back in tears when I realized I was leaking. I then concentrated on milking it down, from the start of the sling, to the end of the urethra, several times. That helped.

Another thing: ever since the sling operation, my scrotum feels chapped -- just the skin -- tender when touched, or when it brushes against the legs -- all the time.
There's no difference in the appearance -- no redness. The skin is just tender to touch, I believe a nerve was nicked when the sling was installed.
I can live with that, knowing there's nothing wrong.
I have no recourse. I forgot to send in the warranty card within the allotted 10 days.

We have come a long way. Coming home after the prostatectomy, 12/30/08, I was in a sea of urine. URINE EVERYWHERE! And, you are correct, we are the fortunate ones to have the minimal problems we have today. (Also, to have lived in a place, and at a time when these operations are routine.)

Many thanks for your reply. Frank.

When I feel less squeamish, I'll look for the link you posted, for the video of the AdVance Sling operation. (They had me in stirrups!)
Age: 64

10/13/08. Prostate biopsy.
12-30-08. Prostatectomy
8-12-10. AdVance Moderate Sling (no screws required for this one).

tallguy
Regular Member


Date Joined Oct 2009
Total Posts : 417
   Posted 10/26/2010 8:49 AM (GMT -6)   
Frank,
 
Yes, we have some similarities. I also experienced the "tenderness" of the scrotum and also considerable swelling. It was very intense right after both the sling surgery and then again after the AUS. There is no doubt quite a bit of trauma in that area and the nervers must be affected even if the surgeon does a good job. Even now, eleven weeks after the AUS surgery I still have a little tenderness but it is mostly gone. I still think my scrotum is a bit swollen but it now holds the AUS bulb so it might be mostly that.
 
Hope neither of us has to experience those stirrups again. I didn't get my warrenty card...mine must have been a really, really limited warrenty.
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.
AMS 800 activated 8/25/10 Dry for first time in 2 years.
Links to my journey posts:
http://www.healingwell.com/community/default.aspx?f=35&m=1847812
http://www.healingwell.com/community/default.aspx?f=35&m=1710681
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