Medical Forum / Diseases and Disorders / Prostate Cancer / April 2007
Invance Male Sling for incontinence?
|
|
Thread rating:  |
Wayne - 13 Apr 2007 02:51 GMT Has anyone experience with the Invance Male Sling for incontinence?
I am 68 now, and 2 years after RP surgery, and PSA is undetectable now, which is good. Incontinence varies with days and activity, sometimes light, but sometimes heavy. I call it one pad per day, but I cut them in half, and it is usually two halves per day. The pads are often light, but with plenty of surprises, and quite necessary. I think it may be be getting a bit worse. But manageable I guess, I'm used to it now. My urologist/surgeon wants to do this new sling thing, and says it has great success, and assured me of no side effects. I do trust him, and would like some improvement, but find that I am a little hesitant about more messing around down there. :) I believe the surgery to be relatively minor, one night in the hospital, and have heard about sitting discomfort for awhile, but my only concern is about long term after effects. The doctor just introduced this and said to go read up on it first. It was a new concept to me, and I wish I had thought of these questions then, at the first visit. The best info I find online is with simple Google search for keywords: sling prostate Not really much info. My understanding is that this sling acts as a clamp to squeeze the urethra tube, to prevent the draining, and that it is particularly effective at this. But if it squeezes, and is tested with 60cm water pressure, then how does one urinate? Making this up, but do you have to wait for full bladder pressure to start it? I had blockage problems immediately after surgery, and had to be dilated several times, and am very leery about urination problems now. :) And what is the effect of all that squeezing several years out? Anything like permanent urethra damage? Is this what is meant by urethral erosion? I'm thinking it is new enough they may not know about long term. The numbers that I think I read say it is extremely effective for like 40%, very helpful for 40% more, not much help for 10%, and causes problems for 10%. 10% harm seems rather high, not quite the same as no side effects.
But it would seem if the odds are so good, then why not? Nothing is decided yet, and I am in no hurry. I still have to do a cystoscopy, to verify if I am suitable for this. I would appreciate any comments from people with experience with this.
Heather - 13 Apr 2007 05:30 GMT Wayne.....when using Google, put it in this way.....
prostate +sling
(no space between the plus sign and sling). I got 166,000 hits with that. You could then narrow it down by using plus or minus signs.
Heather
> Has anyone experience with the Invance Male Sling for incontinence? > [quoted text clipped - 50 lines] > > I would appreciate any comments from people with experience with this. Heather - 13 Apr 2007 05:41 GMT Shouldn't post when tired. Also add invance after sling like so..........
prostate +sling +invance
Got 579 hits for that.
HF
> Wayne.....when using Google, put it in this way..... > [quoted text clipped - 29 lines] >> I would appreciate any comments from people with experience with >> this. dave perry - 13 Apr 2007 15:08 GMT Type "sling" into the Search This Group box and you'll get about seventy hits. Dave Perry
> Has anyone experience with the Invance Male Sling for incontinence? > [quoted text clipped - 42 lines] > > I would appreciate any comments from people with experience with this. Wayne - 13 Apr 2007 20:10 GMT >Type "sling" into the Search This Group box and you'll get about >seventy hits. >Dave Perry Thanks Dave and Heather. In the recent year or two, a summary here sems to be comments by Don C (satisfied) and David S (much less satisfied).
I am confused, and may be asking about something different. I have not figured out yet if this sling is something newer or not. My doctor said it was something new, and gave me a pamphlet dated 12/06 that doesnt actually say anything at all, except does say AdVance Male Sling from www.americanMedicalSystems.com. However that web site calls it InVance. So yesterday, I had assumed InVance was the right name, because that name matched the few links that I found, and seemed to be the product they offered.
But today, I find http://www.amsadvance.com/about.htm which clearly says InVance was first, and then AdVance followed, also from AmericanMedicalSystems. Their page at http://www.amsadvance.com/news.htm has two good articles (last 2 of the 4) which are very hard for me to read, but descibes something installed with "needles", and is extremely different than the "six titanium screws" described by most links about the InVance sling. See pictures page 5 & 6 at http://www.amsadvance.com/80179Z%20UT%20AdVance_final.pdf
I suppose AMS is AmericanMedicalSystems too - if you click on the AMS logo in upper right, it takes you to americanmedicalsystems.com, but which doesnt mention this AdVance sling. I'm very puzzled, but I think I meant to ask about the AdVance Male Sling, not the InVance sling.
Buttercup's Dad - 25 Apr 2007 17:19 GMT Wayne: There are several "new" sling procedures. All my uro said is that it was a procedure developed in Europe about three years ago. He too told me that it was very successful. How the various procedures are different I do not know. Your doctor should be able to fill you in on that. Apparently I was the first patient where the new procedure did not work for my doctor, and at this point no one knows why. When I did some net searching I found a procedure where the sling was adjustable without requiring further surgery. That way the doctor could loosen it or make it tighter depending on whether the patient still leaked or had difficulty urinating. You may want to ask about that one. Good luck. David S.
> I suppose AMS is AmericanMedicalSystems too - if you click on the AMS logo > in upper right, it takes you to americanmedicalsystems.com, but which > doesnt mention this AdVance sling. I'm very puzzled, but I think I meant > to ask about the AdVance Male Sling, not the InVance sling. Wayne - 27 Apr 2007 19:20 GMT >Wayne: > There are several "new" sling procedures. All my uro said is that [quoted text clipped - 10 lines] > Good luck. >David S. Thanks David. About the only mention I find about the "new" "AdVance Sling" (vs the older Invance Sling with Six Titanium Screws) is just marketing material, for example http://www.amsadvance.com/news.htm but which is very encouraging. I would very much like the absense of the associated pain from the screws. I like that it does not work by compressing the urethea, but instead (I think) just holds it higher. I think tension is no longer an issue, but my knowledge is still very naive.
My urologist/surgeon, who I do trust, said this AdVance Sling is something very recent, and that it offers very great probability of satisfying success (for patients with mild incontinence). I am making up problems, but my only little concern is about side effects, like trouble peeing later, etc, which might make it worse insted of better. My doctor says that wont happen, no side effects.
I have been stalling, but think I want to do this, so I just need to get up my courage to go do the cystoscopy to see if I qualify. The doctor said to read up on it and we'd go over any questions then. He has said the new one offers great probibility of satisfying success, and about all that could go wrong is normal infection risks of surgery, etc.
If this easy and great, it surprises me that there isnt any talk of it here.
Steve Kramer - 13 Apr 2007 22:12 GMT > Has anyone experience with the Invance Male Sling for incontinence? > > I am 68 now, and 2 years after RP surgery, and PSA is undetectable now, Sorry, no comment on the sling, but (assuming this is Wayne F.), I'm pretty happy to see the undetectable.
Congratulations.
 Signature PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA <.1 <.1 <.1 .27 .37 .75 PSAD 0.19 years EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 PSAD .056 years Lupron 07/03 (1 mo) 8/03 and every 4 months there after PSA .07 .05 .06 .09 .08 .132 .145 PSAD 1.4 years Casodex added daily 07/06 PSA <0.04, <0.05 Non Illegitimi Carborundum
Wayne - 13 Apr 2007 23:24 GMT >Sorry, no comment on the sling, but (assuming this is Wayne F.), I'm pretty >happy to see the undetectable. Thanks Steve. Yes, Wayne F, RP 3/29/2005. PSA is working out OK so far, no issues. It is always a worry, but also the bright spot.
|
|
|