It's been just short of seven years since I had RRP. PSA was 28.4. Surgery
didn't drop the number as low as the urologist wanted so I endured seven
weeks of almost-daily external beam radiation, and that lowered the PSA to
<0.1. Regular PSA tests never rose above 0.1 and for two years now it's
been 0.04. Both my doctor and I are quite pleased.
Now he's suggesting an InVance Male Sling System by American Medical Systems
of Minnetonka, MN, to reduce slight leakage which I have never been able to
satisfactorily control. My doctor gave me a brochure and loaned me a DVD
that describes the sling and the surgical procedure for installing it.
I'm almost 78, I'm not afraid of surgery, and I trust my urologist
completely. The procedure is out-patient, surgery takes about an hour, most
patients walk out of the recovery room and enjoy immediate improvement (or
so says the information I received).
My doctor isn't pushing me for this at all, he merely suggested that it
should reduce leakage when I lift things or bend over and straighten up, and
almost totally eliminate the need for pads.
Your comments, please.
Ken Bland
djperry42@sbcglobal.net - 27 Dec 2007 23:54 GMT
As a long time leaker I've looked into the sling and I've come to
believe that it can offer improvement for major leakers such as those
requiring over three pads per day. The sling ought to reduce the pad
use for these guys. I've not heard of it being of any use for the
occasional stress incontinence that you imply is your problem. It
would seem that if it were tight enough to eliminate stress
incontinence then it would also be too tight for normal urination.
There is one model that is "adjustable" although I don't know if that
function is available to the doctor during installation or if it can
be adjusted later to fine tune the amount of pressure exerted on the
urethra.
There are a couple of guys on this newsgroup with successful sling
installations and maybe they can offer more information. One other
patient is worse off with the sling than before it was installed. He
had been dry at night and with the sling he leaked 24/7.
Keep us posted if you discover any new information.
Dave Perry
> It's been just short of seven years since I had RRP. PSA was 28.4. Surgery
> didn't drop the number as low as the urologist wanted so I endured seven
[quoted text clipped - 19 lines]
>
> Ken Bland
A. Black - 28 Dec 2007 14:25 GMT
> It's been just short of seven years since I had RRP. PSA was 28.4. Surgery
> didn't drop the number as low as the urologist wanted so I endured seven
[quoted text clipped - 15 lines]
> should reduce leakage when I lift things or bend over and straighten up, and
> almost totally eliminate the need for pads.
There is some info and further links here:
http://palpable-prostate.blogspot.com/2007/02/urinary-incontinence.html
in the Treatment for Stress Incontinence section. It discusses
viewpoints on
the sling and AUS, which are the main surgical approaches. The
remainder of the page may also have info relevant to you including
simple non-surgical steps which probably would not represent a cure
but
might result in some improvement.
---
The Palpable Prostate
http://palpable-prostate.blogspot.com
rupert.scott@businesspartners.me.uk - 02 Jan 2008 18:08 GMT
> It's been just short of seven years since I had RRP. PSA was 28.4. Surgery
> didn't drop the number as low as the urologist wanted so I endured seven
[quoted text clipped - 19 lines]
>
> Ken Bland
I had a radical in August 2006, so about 17 months ago. My PSA is now
about 0.2. I am a 58 years young self employed international anti-
terrorism consultant & travel a great deal. I also play sport
extensively. To stop the incontinence (between 1 and 4 pads a day) I
have had two Microplastique ops in Sept & Nov 2007 but they have not
worked. So I am now looking to the AUS or the Sling. It appears that
the AUS is much more invasive and recovery can be quite long (6
weeks?), while the Sling is a 'Day-op'. I am doing whatever research
I can in a short time so any experienced advice and/or help would be
appreciated.
Kind regards to all readers
Rupert Scott
Steve Kramer - 02 Jan 2008 19:38 GMT
On Dec 27 2007, 9:30 pm, "Justin Thyme" <Ken_Bl...@Mindspring.com>
wrote:
> It's been just short of seven years since I had RRP. PSA was 28.4. Surgery
> didn't drop the number as low as the urologist wanted so I endured seven
[quoted text clipped - 23 lines]
>
> Ken Bland
I had a radical in August 2006, so about 17 months ago. My PSA is now
about 0.2. I am a 58 years young self employed international anti-
terrorism consultant & travel a great deal. I also play sport
extensively. To stop the incontinence (between 1 and 4 pads a day) I
have had two Microplastique ops in Sept & Nov 2007 but they have not
worked. So I am now looking to the AUS or the Sling. It appears that
the AUS is much more invasive and recovery can be quite long (6
weeks?), while the Sling is a 'Day-op'. I am doing whatever research
I can in a short time so any experienced advice and/or help would be
appreciated.
Kind regards to all readers
Rupert Scott
Welcome to our little newgroup, Rupert.
At worst, my incontinence is 1 pad a day and that's rare, so I have not
experience with devices to stop it. But there are some here who tried the
AMS800 with and without success. Two come to mind; David S and T dub.
Neither of which visit often anymore. I'll give your address to David and T
dub's is
gripshift5@email.com

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, <0.04, <0.04 10/11/07
Non Illegitimi Carborundum
I.P. Freely - 02 Jan 2008 20:48 GMT
> I also play sport
> extensively. To stop the incontinence (between 1 and 4 pads a day) I
> have had two Microplastique ops in Sept & Nov 2007 but they have not
> worked. So I am now looking to the AUS or the Sling.
I also use 1-4 pads a day (I'm dry only when sitting or lying down), and
am extremely active in sports. My uro asks me one question when the
topic comes up: "Are you willing to risk greater problems to decrease
the number of pads you soil?" (He has never asked me about any
guaranteed-dry solution, for obvious reasons.) My answer hasn't changed
in three years now: "Not only no, but Hell, No!" However, I'm quite dry
in the gym (where the locker room is just 100 fet away) and my sport is
a water sport, not the trampoline (a notorious leak-inducer). YMMV.
I.P.