I suffered with complete incontinence after my robot removal of my prostate for 2 years. My doc said that he wanted to see if the problem would resolve itself. It didn't.

I have had the AUS activated for six weeks and am in total control now and am very satisfied and can highly recommend this to others with incontinence. Mine is 100% effective.

I've got no personal experience with revision. I've had my AMS 800 for three years now and it's been a mixed success... or a mixed failure, depending on how grumpy I am when you ask me. I had been hoping for dry but, at only three pads a day, it's a big help.

The impression I get is that most guys get five to seven years on a device before revision, usually because erosion has made them leaky, but sometimes because the device has failed. I've seen some studies that found that men who've had radiation tend to do better with a dual-cuff device. I figure I'll get a few more years on my current device then think about, maybe, trading up. It'd be nice to get dry if there is a way.

Since you aren't particularly miserable with your current situation there's no burning need to do anything if you don't want to. On the other hand, you've gotten eight years out of your current device and, if you did want to change it out you're due.

As for your age. I dunno. It depends on how long you think the device will continue to function, I guess. You're younger now than you will be in five years if your device were to fail then.

Thanks guys! Last November I had a consultation with a URO in San Francisco that does tons of AUS revisions. Given my condition described above we decided to leave well enough alone for now. He says he does lots of these for guys in their 80s. I was concerned that age 75 perhaps I should get mine done before I get to old for invasive surgery. He disagreed.

I was especially interested in echotango's comment about the different balloons:

"My uro placed the balloon in my scroum, this was less invasive. He told me there are 3 pressure balloons,
low, medium and high. I have the medium. If I have any leakage in the future, he will install the high
pressure balloon. This will be a simple surgery, cut the scroum open, install new balloon and glue
me back together."

I don't know if this is a new technology so I am checking with that URO to see if this could be an option for me. Given that my AUS is now 8 years old perhaps the technology has changed. My balloon is in the scrotum. I was only aware of different cuff sizes when mine was done. Anyone know?