I just realized my 1 year anniversary for Advance sling surgery past a couple of days ago and thought it may be a good time to write summary of my experiences.
Following surgery I was sent home with a catheter since I was unable to void. The cather was in and out a couple of times until I realized I could void if I applied some upperward pressure to the perinium area. The 3 weeks following surgery were painful with bladder spasms that were almost crippling however 3 weeks to the day of surgery they stopped and never returned. I still had some incision pain for the next 2 months but that also vanished with time. Initially I was getting up 2-4 times a night with urgency but this has now subsided to 1-2 times per night. Unfortunately my bladder size has shrunk but I can get up to 220 ml if I really delay things to the painful point.
The real upside of the surgery was a total control of leakage back to pre surgery state. I litterally have not leaked in a year except for a couple of instances when I held it a bit too long since no facilities were available.
This surgery has given me the freedom I had prior to surgery and occasionally I just stop and think about how fortunate I am to have had this outcome.
I still have to apply a bit of upward pressure on my perinium to pee however its just a matter of sliding a couple of fingers down there while voiding, no one could possibly know what I was doing even if they stood at the next urinal.
I ride a road bike, motorbike, run, weightlift and anything else that I wish to accomplish without any thought of leakage...it's really a blessing. I guess its not for everybody but it was the right path for me despite a tough surgery recovery.
Hopefully this helps someone in making a decision about which way to go with incontinence issues. This forum and in particular a couple of generous contributors helped me with my decisions and recover...many thanks.