I have 2 months to consider artificial sphincter

I had two slings first one slip second one not holding good enough so should I go ahead if the artificial sphincter? I'm in 5 pads a day 3 months out of the second surgery,6 months from the first one.

Ubetternoit, I won't suggest what you should do but I will share what I am doing.

I had RALP a little over a year ago. Since then I go through up to 5 of the heavy-duty pads per day depending on my activity level. I am VERY active. I just ran a half-marathon in Pittsburgh a week ago. I have lots of hobbies that require lifting, bending, crawling under things (auto-mechanics, woodworking, home improvement, etc.) and I leak like crazy when doing them. I took a ceramic class this past semester and the action of sitting at the wheel and centering the clay was a guarantee for bladder emptying.

I went through a few months of PT with a pelvic floor specialist and saw no change. My urologist said I could go with a sling or AUS but suggested the latter due to my activity level.

I did my research which included watching a video of the procedure and read lots of comments here and on another site.

I will have the AUS installed this coming Thursday.

Ubetternoit, I too have gone back and forth on this. I don't leak when I am horizontal so sleeping is a dry event. Then I'll have days when I pee frequently enough that I don't go through many pads. Then I have a day like a week ago where I went on an industrial tour. I used the restroom as the beginning but after walking, standing, and getting in and out of a car several times I exceeded the capacity of the pad and didn't know it until it was too late.

It's times like that when I tell myself I am doing the right thing.

Had an AUS fitted a year ago. Best thing I ever did. Get your life back!!

Vance i feel your pain man I'm so tired of leaking every quick move can't exercise bend over lay down do floor exercises like you want to working in the yard just kills me and my bladder it goes stops goes stops I go to the bathroom all the time I can go and 5 minutes later I have a little more then I go and I'll have alot 15 minutes later my bladder is reallyit is really working crazy since the prostate came out.

Yes, definitely. At seven months post-op I was still using 8-12 full size pads daily. I didn't just leak, I flowed. I was not even aware of the leaking. I couldn't feel it. It was I had no control. Well, at times when I knew I would leak, like when getting up or down from a chair I could squeeze like a Kegel and it would hold, but one can't clench your butt that long. Eventually you gotta relax those muscles.

But the good thing was, I had been sleeping dry ever since about a month after RP. I never needed nighttime protection until after getting the AUS and undergoing RT. Now I still sleep with a dry washcloth in my crotch.

By the way, my AUS does not stop leakage completely. Some other guys have reported the same thing. I still wear two pads per day... one in my briefs by day, and another in my loungewear in the evening (and into the next morning). Still that's a heck of a lot better than before the AUS.

As I understand, the AUS is made in standard sizes, sort of like a wrench set... 1/4, 3/8, 1/2 etc. The first AUS was too tight and I couldn't pee at all, so I had a cath for a few weeks, then he went back in and went up to the next larger size... so like shoes, it's better if they're a little too loose rather than a little too tight.

Also when having sex can you still get a orgasm or a nut whatever a man calls it because with the sling when I get hard three sling tightens and the Jack elation takes some time if I can still call it that.

Thanks Pete well I know this since the sling I'm in worst shape since the first one slipped if I never did it maybe I could of regain continents normally but now looks like I will have to have help

Good luck, let us know how it goes.

Thanks I sure will.

Done great 1 week and 3 days out