AUS and IPP for my birthday 1/11

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Veteran Member

Date Joined Jan 2006
Total Posts : 650
   Posted 1/13/2011 8:11 AM (GMT -6)   
Thanks to all the well wishers and Cajun Jeff for updating my status after going bionic. I got home last night after having the Artificial Sphincter and Inflatable Penile Implant done tuesday. The 350 mile drive home was a lu-lu. My wife at first wanted me to take more pain pills or anything that would stop my backseat driving but somehow we both survived. about all I can report so far is that I can still pee and everything hurts. Surprisingly I feel a lot better after a good nights sleep in my own bed. Had to get up every two hours to pee but still it was as good rest. I was surprised when I woke up with some searing pain right above my pubic bone where there was an incision. The nurse took care of that in short order. Turns out that my AUS doctor who was the lead surgeon, places the resevoir though this incission rather than the more popular way where it is placed though the upper scrotal area where the incision is internal. I guess either way there is pain? We talked about this after and he said he thought this was safer as the resevoir is not placed blindly and the incision is made though some tough fascia where he puts some "very" strong stitches. Makes sense to me, plus he said the internal way leaves the tubing in a place where hernias can develope. My AUS doctor was Timothy Boone at Methodist Houston and The IPP was done by Dr. Larry Lipshultz of Baylor. The doctors and the hospital staff were great.
So now I am just a normal bionic guy with plastic tubing like a bowl of spagetti and two pumps, how!
06-08 1st biopsy neg psa 4
10-09 psa 5.5 2nd biopsy 1/12 pos. 10%, G(4+3) age 65
12-15-09 RRP Tulane NOLA Dr Lee
Path, 1%, clr marg, no EPE, no SVI, nodes cl, G(4+3)
100% incontinent after 3 mo. PT
ED, pre-op severe, post op total
10/10 Dr Boone, Baylor recomended AUS
AUS and IPP scheduled 1/11/11
post op psa's 0.04,<0.1,<0.1,<0.01@12 mo.

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 1/13/2011 9:40 AM (GMT -6)   
Ron, good to see you check in with a great after surgery report. I hope you continue to heal quickly and things continue to improve.
James C. Age 63
Gonna Make Myself A Better Man
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RP, Path: pT2c, 110 gms., clear except:
Probable microscopic involvement-left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09, 01/11-.09
ED-total-Bimix 30cc

Cajun Jeff
Veteran Member

Date Joined Mar 2009
Total Posts : 4069
   Posted 1/13/2011 11:03 AM (GMT -6)   
Wow Ron I'm impressed that your posting! Buddy dont doba thing let your wife play nurse. You may even need a sponge bath :)

Will give you call tomorrow. If you need give me a call.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1% cancer core
10/08 Nerve-Sparing open radicalSurgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clea
r3 month: PSA <0.1
19th month: PSA <0.1
2 year PSA <0.1
Only issue at this time is ED but getting better

Regular Member

Date Joined Oct 2009
Total Posts : 417
   Posted 1/13/2011 7:09 PM (GMT -6)   
Great to see you are home and on the way to recovery. I can just about predict what you will be experiencing over the next few days/weeks. Glad mine is over and looking back it was not bad at all......and the results will please you.
Have a speedy recovery and a successful activation.
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:

Veteran Member

Date Joined Jan 2010
Total Posts : 2832
   Posted 1/13/2011 9:31 PM (GMT -6)   
Ron :
wishing you all the best with your recovery
- since post-RP phrase is "welcome to the other side" or "land of Oz" - what would your procedure phrase be? - be creative - and copyright it!
-take care
Age: 55 - gay with spouse of 14 years, Steve
location: Peterborough, Ontario, Canada
PSA: 10/06/09 - 3.86
Biopsy: 10/16/09- 6 of 12 cancerous samples, Gleason 7 (4+3)
Radical Prostatectomy: 11/18/09
Pathology: pT3a -Gleason 7 -extraprostatic extension -perineural invasion -prostate weight -34.1 gm
PSA: 04/08/10 -0.05 -Zero Club
PSA: 09/23/10 -0.05 -Zero Club
PSA: 03/12/11 - TBA

Regular Member

Date Joined Mar 2007
Total Posts : 422
   Posted 1/13/2011 9:59 PM (GMT -6)   
Knotree, didn't know anyone did the reserevoir like that, but, hey. Who cares as long as it works. The pain will lessen in days. I had the implant on a Wednesday & on Sunday could have gone to church, but truck would not start. Enjoy your implants.
PC diagnosed 12-06 @ age 63
Radical open removal 2-14-07, Gleason 3+3=6
Post-Surgery psa  -- .011
Removal of stricture 6-07, incontinence continues
01-15-08 psa -- .05
AUS, IPP implanted 07-16-08
AUS, IPP activated on 08-18-08.  They both work!
10-20-08 went back to surgeon for a follow-up.  Both devices work well.
10-20-08 psa -- .05
05-15-09 psa -- .07

Veteran Member

Date Joined Jan 2006
Total Posts : 650
   Posted 1/14/2011 6:22 AM (GMT -6)   
Well it's day four now and things continue to improve. The scrotal swelling has begun to subside and things ( new parts) are beginning to be comfortable off and on. I now can grasp both pumps and their position seems ok. so far no problems. Pain still comes and goes but it is much better. I am glad to have this over with. I go back in four weeks for AUS activation which will be BIG. I hope my AUS works as well as others have experienced. I guess it is the swelling or the gentle pressure of the uninflated cuff or maybe the change in position of the uretha but I am a good deal more continent than I was before the implant. It's working already , dare I say.
Bronson, about that new phase for these proccedures, I don't know, maybe, "Welcome to the far side" I still can't believe that i actually did this, I mean the IPP part. I just hope i don't have to console myself with "at least the IPP worked"
06-08 1st biopsy neg psa 4
10-09 psa 5.5 2nd biopsy 1/12 pos. 10%, G(4+3) age 65
12-15-09 RRP Tulane NOLA Dr Lee
Path, 1%, clr marg, no EPE, no SVI, nodes cl, G(4+3)
100% incontinent after 3 mo. PT
ED, pre-op severe, post op total
10/10 Dr Boone, Baylor recomended AUS
AUS and IPP scheduled 1/11/11
post op psa's 0.04,<0.1,<0.1,<0.01@12 mo.

Regular Member

Date Joined Nov 2010
Total Posts : 192
   Posted 1/14/2011 10:22 AM (GMT -6)   
Congrats my friend. Just let things heal.

Chris (neo)
Bladder Cancer fall 2008, age 53
MVAC Chemo fall 2008 to Jan 2009.
RC of Bladder Feb 2009
Stage 2 high grade bladder cancer
also detected after bladder surgery high grade Prostate cancer
Had AMS 800 implanted July 2009 but surgeon nicked uretha and the cuff had to come out. Then developed infection soon after and they took it all out. Reimplanted Oct. 12 2010 after fistula/infections healed
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