Comparing Male Slings for Incontinence

amm1 said:

advance sling
Can you tell me the name of the surgeon you used to put in the Advance sling? Thanks.

AdVance male sling successful outcome
Hello Amm1

My surgeon for the AdVance sling implant last December was Dr. Kenneth Angermeier at the Cleveland Clinic, Cleveland, OH.

The urology department at the Cleveland Clinic is often rated number 1 or 2 in the USA.

You can GOOGLE Dr. Angermeier's bio buy entering key words:
Cleveland Clinic Kenneth Angermeier.

It is my understanding that the AdVance sling by American Medical Systems is the only male sling that is used at the Cleveland clinic.

You may email or call me if I can help with more information.

Best wishes,

John

papa2 said:

Just had the Advance sling implanted
Shirk, I am also new to the network. I had robotic surgery 2 1/2 yrs ago, I am cancer free but was incontinent for almost a year. Less then a year ago I stopped wearing pads put had a mild stress incontinence and a little dribble after urination. I wanted to be normal again so this Friday Feb 18, 2011 I had the AMS Advance sling implanted. Today is day two after the surgery and I have slight dribbling and urge. Just wondering if you had the same symptoms or if anyone who reads this had the same symptoms. And if so does it get better.

Thanks for your time

Papa2

Update on the Advance Sling
Had the procedure on that Friday and Tuesday I was back at the Doctor's office suffering from severe incontinence 4 to 5 pads a day. Remember I wasn't wearing any pads, just had mild stress incontinence with certain movements and a little dribble after urination. I was told that this should not be and the sling was somehow causing the bladder muscle not to close properly. So this last Tuesday March 15 I had it removed and the TOM sling was put in which is positioned further up on the urethra. Well I’m in a lot more pain than the first procedure and I am still incontinent but now it’s only 1 to 2 pads day. “Remember I wasn't wearing any pads”. So now I have to go back to see the Doctor on March 29th. The way I feel right now is to remove the Damn Sling, hopefully go back to how I was and have collagen injections. Even if I have to get them two or three times a year, it’s better than what I am going through right now.
I was considered the perfect candidate for the Advance Male Sling. I read hundreds of reviews by fellow prostate cancer survivors who had positive results and only a handful had negative results. With my luck I fall in with the negatives. If anyone is thinking of having the procedure, try the collagen injections first. That’s what I should have done.

Exactly why I refuse to
Exactly why I refuse to consider a sling. thanks for the reinforcement.

You do have my sympathy.

JR1949 said:

Think I will choose to just live with incontinence
I had a radical prostatectomy March 2009, my PSA has been zero since (0.008). I still have some incontinence but is better last 9 months or so, I was using average of 6-7 pads at first, but now averaging 4 during the day and 1 overnight. I have discussed this with my uro and have decided that I can live with this because I have the fear that I could have problems like some of the guys posts I have read over the years such as still being incontinent and worst of all the infection or rejection of my body to a foreign material. Therefore I do not want go through another surgery and risk the chance of the possible side effects and maybe be more incontinent than I was post surgery and also have scar tissue that can cause a problem. I think this is something that we all have to look at the facts and decide what is best for you.

JR

No Further decisions for me yet either
JR1949,

I understand completely where you are coming from and feel the same way. My current incontinence problem is cauased by an overactive bladder and nothing has worked. I am living with it---at least no physical pain.

Lion1

memorial said:

overactive bladder and male sling
I had the Radical Prostate surgery 6 years ago. Initially I had to use many pads per day due to bladder leakage. After 2 years, my pad use was reduced to one or two per day. I also had an overactive bladder.
Six months ago, two medicines were prescribed (Detrol and Imipramine)which helped my over active bladder and also slightly reduced my leakage. Since I was still using one pad per day, I had an advance male sling installed 10 days ago. Perhaps it is too soon to judge, but the results thus far have been poor. My urine stream is weak, I dribble, and I'm back to 4 pads a day.

pads
What brand of pads are you currently using?

Trew said:

Iam, What can be said?
Iam, I remember my hopes were high for a successful surgery, that I would be fully continent and functioning in other ways. It never happened. I ended up on hormone shots 3 weeks after the cath was pulled and I have been leaking more or less since the cath was pulled on March 30, 09.

I am not interested in the sling, but I would be interested in the AMS 800 artificial urinary sphincter implant. That seems more dependable to me. But if it didn't work, I think the mental blow would be very severe to me. I suppose you had the same hope, too, before surgery. I may be projecting my own feelings into your situation, but your story just about has the tears flowing. I hope your future improves greatly.

Implant
I have had 4 artificial sphincter implanted and none even slowed the leaking, I am considering the Vietue sling any info on thata?

Trew said:

Bill,
I use 7- 10 pads a day, avg. I will be getting an eval at U of MI very soon and get their expert opinion. From what I have read, I don't think I am interested in a sling at all. neither wold my local uro recommend it. He likes the AUS much better.

BAD LEAKAGE

TREW,

I am new and was wondering what you did to stop the horrible burning and itching that comes with using so many pads. I use 8 to 10 pads a day and leak constantally. I have tried lots of creams and have used several prescription creams but the leakage is so bad i stay raw all the time. I want to get the male sling but have only 6 months into this since i had robotic surgery. I am miserable and hope you or someone can give me helpful sugestions. I have tried the texas condoms with the uring bag. I have used the J-CLAMP but these devices have to be removed at night because they cause bad irration if you leave them on to long and can get infected. What to do---What to do.

     

 

virtue sling

Hope my comment helps someone's decision.  Had robotic prostate surgery Jan. 2006.  Had bad incontinence problem afterwards.  Six years later (2012) I had the virtue sling procedure.  It has truly been a living nightmare.  Still had incontinence problem (some improvement). But, I have a severe scrotual sensitivity problem.  Covering my scrotum with litodurm patches has really helped, but can only use them about 8 hours a day or suffer the consequences (rashes).  Been to 7 different urologist and no help.  Still hoping for relief.

iam144 said:

Problems too
I had my prostate removed in January 2009 via an RPP. I was incontinent and impotent from the beginning and never fully recovered.

On April 1 this year, I had the AMS Male Sling AND the AMS penile implant. Ever since the surgery, I've had a serious problem with urinary retention. I cannot completely void my bladder and find as the day goes on, I can void less and less until I have to insert an intermittent catheter to be able to fully drain. Also the urge to void is so great that sometimes, I leak before I make it to the bathroom.

I was doing fair before the surgery with 2 to 3 pads a day and living a fairly "normal" lifestyle using a combination of pads and clamps. But now I feel home-bound and can't be more than a few dozen feet from the bathroom for fear of urinating myself.

Anybody else heard of this kind of retention problem after having the sling installed?

Thanks!

Advance Male Sling System

I had prostatectomy three years ago. I had ncontinence using about four pads a day. No other problems. I had the Advance Male Sling System installed about two months ago and it was worse the the French Inquisiion. I had an indwelling catheter for a month, and infection ..... grand pain ... I continue to suffer as you do. Always looking for the nearest toilet when I am out and about. Often get little sleep while up answering the urine call then spending about five painful minutes trying empty. I think my sling is too tight. Day times are not a bad, but nights are often a nightmare. My U told me to hang tough and see what happens. I will hang for about two more months and if things do not improve, I will consider my options if any ... I must get some sleep. I use cannabis oil for sleeping and for pain ... It really helps a lot .... I don't tolerate anti infamatories or other pain meds.

ams 800

i had ams 800 installed 6 weeks ago and just had activated 3 days ago. seemed perfect but now when have bowel movement I dribble several drops. wonder if normal or indicate beginning of problem