I am looking for your experiences- Have you had an AUS or Sling? How old when you got it, have you ever had one fail, what was the procedure, recovery, and efficacy like?
It's been a two and a half years after my RARP, and I'm still quite a bit leaky. On very physically active days, I can still soak a good 3-4 heavy pads. Even standing and working in the kitchen gets me running.
Sick of being soggy, perpetually itchy and raw down there, and as much as I hate the idea of messing with my remaining plumbing yet again, I think it's time for me to look at some options.
I went to see a local urologist who specializes in Artificial Male Sphincter implants, on a referral from the urologist who treated my cancer. He examined me with a Cough Test, which triggered a good deal of leakage and dribbling, as well as an unexpected cystoscopy. He told me that I would be better off with a sphincter than a sling- no surprise there. Pretty much everything he told me agreed with what I already knew going in. (He never did give me anything for my cough, BTW.)
My story: My PC was well-contained, and since my RARP, I have not needed any radiation, chemo, etc. The main thing I worry about, however, is that at 57, I am well below the average age for the AUS implantation. I hate the idea of such a foreign body in me, especially given a failure (urethral erosion requiring explantation) rate of almost 6% in the first year or two based on some studies I have read.
Unfortunately both Urologists told me that this far out, the incontinence is not likely to improve on it's own at this point.
I met my primary Uro in May for a PSA followup and I am still in remission.
BTW, I have 100% ED, as well. So far, pills don't work at all. I have had some success with a concoction of alprostadil and lidocaine, following my one attempt at trying Trimix that was so painful, it would have been worthless anyway.