male sling after implant?

The final frontier. Deciding when, if and how.
oldbeek
Posts: 2466
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

male sling after implant?

Postby oldbeek » Mon Feb 10, 2020 1:05 am

Anyone get a "male sling" operation for incontinence after having an implant installed? Not looking forward to another operation in that region but tired of having a wet frozen dick when outside in the winter.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

williamb
Posts: 244
Joined: Wed Sep 09, 2015 9:48 pm
Location: south Louisiana

Re: male sling after implant?

Postby williamb » Mon Feb 10, 2020 6:07 pm

oldbeek, I had a Male Bladder Sling put in after my 2nd implant because of incontinence. Prostate removal 10/2014, Ist implant 10/2015, 2nd implant 12/2016, sling 07/2018. The sling did help but did not stop it completely. I normally use 1 thin pad per day, sometimes the pad is totally dry at the end of the day . The pain was not too bad, but you knew that someone had done some work down there.
Dave
born 1949, Cancer 2014, 1st Implant AMS CX 18 + 3 RTE, Oct 2015 by a Houston Doctor. Left with loss of length, Floppy Glans and pain, a very poor job. Revision in Dec 2016 by Dr. Kramer, 21 + 3 1/2 RTEs, LGX, Regained length, Glans supported and no pain.

oldbeek
Posts: 2466
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: male sling after implant?

Postby oldbeek » Mon Feb 10, 2020 10:55 pm

Thanks William, What am fighting is just leakage. I also use one light pad a day. But in winter cold with out door sports I leak a lot more. Soaks the pad full.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

numansoon
Posts: 13
Joined: Wed Sep 11, 2019 10:39 am

Re: male sling after implant?

Postby numansoon » Tue Feb 11, 2020 2:43 am

I had rather severe leakage after PC surgery. I started fairly slight but progressed over time. after getting fed up with how it was controlling my life, I decided to do something about it. I looked into the sling and it has its uses but also has some possible complications long term. For the most part I dont think it is really used that much.
What i opted for was the artificial urinary sphinkter. It is a cuff that goes around the urethra fairly far under the paritnium. it is sort of the opposite of the penile prosthesis, there is a very small pump that pumps out the fluid and allows flow. then after a min or so closes down. I works extremely well and I only rarely have drop or two if i press against the cuff inadvertanely. I really is the gold standard and yeah I now have two pumps but this one is about 15% the size of then penile one. No big deal. The recoup is pretty easy and frankly it is a miracle. I would strongly suggest you find a doc who does lot of these and talk to them about it. Sling is ok but really no great if you continue to have progressivly more leakage.
PC of 10 years. Tried pills, tri-mix, and muse. About to get implanted LGX. Retired S. Florida


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