AUS/AMS 800 best pads & underware for residual leakage

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tallguy
Regular Member


Date Joined Oct 2009
Total Posts : 417
   Posted 1/10/2011 7:49 PM (GMT -6)   
I decided to start this thread for what can be a trivial topic. But, when we find something that works well is seems good to share it....at least I was encouraged to do that about the "one hand method" of urinating. with an AUS and this adds something to that thread.
 
I have settled in on wearing Jocky boxer briefs with a vertical opening/pouch. These work well because I use a one hand method of activating the AUS while standing at a urinal or toilet. This way you don't have to drop trowel to go. You just unzip, pull willie out, then run one hand down inside your trousers to squeeze the AUS bulb while holding willie in the other hand. the cloth of the briefs is between your fingers and your scrotum. It can be inside the briefs as well but I find it more comfortable to do it with the hand on the outside of the briefs.
 
Now, since I am a bit impatient I do now like to wait a minute or two for willie to drain and for the aus to close completely. As a result I almost always get some residual drops after closing up. So, to catch these drops and any others that may come out because of stress/strain like playing golf or lifting I wear a light pad all day. I take it off at night with no problem at all.
 
I have found the best pad for me is a brand of ladies panty liner called Always Infinity. They have a mark on the box that says "heavy flow" and are green in color.  You find them in the ladies "day of the month" asile, not the incontinence asile. Wal Mart has them for about $7 for a box of 30. I put them in the Jocky boxer briefs reverse of what the box says. I put the wider part at the top all the way to the very top of the flap opening. The key is to make sure that the pad is positioned to catch willie's spout after he is put back in. My willie is somewhat of a "left leaner" so I position the pad to the left side and as high as I can place the liner without it sticking out of the flap opening of the briefs.
 
This may seem like a lot of trivia and it may not work for everyone but it works very well for me after a lot of trial and error. One pad will last all day depending on what I am doing and how much I have been drinking. I usually change pads at the turn if I am playing golf just to be safe or anytime I sense it is getting wet or full.
 
I "always" keep a spare in my back pants pocket and a couple of spares in my golf bag.
 
This makes it easy to urinate at any urinal with someone standing in the stall next to you and they don't even notice you are doing anything different that they are.....and, it's a quick change if you need to switch in a stall.
 
Hope this helps anyone that is also a proud owner of an AMS 800 AUS.
 
Good going!
 
Carl
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
http://www.healingwell.com/community/default.aspx?f=35&m=1948599

Susan R
Veteran Member


Date Joined Dec 2010
Total Posts : 511
   Posted 1/10/2011 7:59 PM (GMT -6)   
This is great info, not trivial at all. I have actually spent lots of time wondering what type of protection to buy my husband for when he gets the cath removed. Thanks for this!!!

tallguy
Regular Member


Date Joined Oct 2009
Total Posts : 417
   Posted 1/10/2011 8:10 PM (GMT -6)   
One more bit of trivia. If you look for boxer briefs with the pouch and vertical opening they are hard to find. You can find then on the jockey web site and I get them at Macy's. Not to be found in other stores at least in Michigan. My wife also found some on line with the Munsingwear brand but I have not tried them.
BTW, the boxer style brief is not necessary critical, I just prefer them to regular briefs.
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
http://www.healingwell.com/community/default.aspx?f=35&m=1948599

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6980
   Posted 1/10/2011 8:49 PM (GMT -6)   
Susan,
 
Here is text from a post I did a while back (close to a year, it looks like) on pads - it might help.
 
Hope the catheter leaves your husband "dry" -
 
--------------
 
Tena pads in general - I still use the "Long Heavy Pads" (42/pack - gender neutral label, 4 of 5 absorbency indicated) at night. I've done fairly well at night, so may be jinxing it all by saying that, but I'm more concerned of having to strip the bed and wash the sheets daily than I am the per pad cost (having had a very few nights like that)- these were 10.99 USD for 42 with a coupon downloaded from their web site, if the math needs to be done. Now I don't need them as much, but they are mine, so I'll use them. "Wasted" is relative when you have to do flights of stairs to get to the laundry one week after surgery.

The Tena Male Guards are clearly packaged with the name "Male Guards", as are the others I mention in the next paragraph. They (the Tena) are what I hope to be able to get by with some day. They are thin, work well with your clothing, but are understandably not the most absorbent.
(Update 2/26/10 - The Tena packaging has changed. Packages from last year ('09) were labeled "Tena Male Guards". Packs I have gotten this month (02/10) carry the labels "Tena Men" and "Protective Guards Moderate").

Again, price aside (look for sales and coupons/samples on Depends, Coloplast, and Tena websites).
Walgreens Certainty / aka Target Affirm / aka Kroger's Male Guards are the most absorbent, but bulky. They do not begin to fit in my pre-surgery jeans, but are the economical choice for around the house in sweats.
Depends Male Guards are less absorbent, less bulky, and using them, I can actually use my pre-surgery jeans. I just have to change more often.
Tena Male Guards are about on par with Depends, but much thinner, so they are less noticeable. They are also the more expensive of the group. Look on their web site for stores that carry them.
Coloplast makes some that are really light, but more for drips than real leakage. Maybe someday ....
(Update 2/26/10 - The Coloplast "drip collector" products come in two sizes, Normal, 80 ml absorption, #5410; Extra, 100 ml, #5420. You can also get samples from them. They seem to be available from more serious home care supply stores rather than chain Rx.)

You may need pads even with the catheter - I had bladder spasms, with brutal leakage, and used whatever pad the ladies had to offer until I made it to the store. Then I used the "adjustable" pants that split on the side for a few days. For night, pick something absorbent if you need it, gender on the label is not relevant. None of them are comfortable. Just some less than others.

Once you "lose" the catheter, and want to get out in public, use the criteria above based on fit and leakage or lack there of.

I am +13 weeks, and use Walgreens or Depends male guards in a Depend male pant. I still leak like day one, but being the representative of the worst 2% on the board, you must certainly do better, and I wish dry nights and days for you.

Don't worry too much about it - send off for the samples, they will be waiting for you at home. (Depends and Tena will send a sample). You should be like the guy who had his cath out before me - the nurse said he got home dry and has not used a pad since.

By the way, if you buy at Walgreens, and you really don't like what you got, they take back an opened pack if you've just used one or two and have the receipt. I did. I wouldn't say much for the impact on your self-esteem to take back diapers, but I gave it a shot. Next partial pack will go to a local charity instead. My local prostate cancer group said there was no problem finding a home for any of my unused extra supplies. There are survivors who are much worse off than any of us who have a computer.

And lastly, a pad is a pad when you need a pad. All the fancy ladies editions are for form and thickness. Except for those that are narrow and have "wings", they work if they are what you have. Tell that girl in the Tena commercial you're wearing her pad. Or not.

Again, Dry wishes for you.<!-- Edit -->
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