Hi All - I'm just over 1 year out from RARP complicated by large infected lymphocele. I am persistently incontinent, mostly SUI with activity, at 1-2 medium pads/day. I'm interested in others' experience with the Sling procedure. Successes/failures/ satisfaction. Need to progress to Artificial Sphincter? Perineal pain after procedure? Duration? Etc.
I'm contemplating pursuing this procedure this Fall/Winter. My PSA at 1 year rose from undetectable to .07 so I am somewhat concerned. If I do require radiation, I know the Sling procedure is less successful afterwards.
Also, anyone have experience with focused therapies for residual disease like PSMA linked radiation, or other, rather than external beam therapy? I like the idea of a focal treatment rather than 'shot gun' external beam should I need it.