Male sling

I didn't want to rush in with a reply because mine only worked for a short time (but it DID work) and I was hoping for someone else to have had a "success" story. Your surgeon should have statistics showing his/her success rate and may be able to quote personal stories of previous sling recipients. Note however that the sling and even an AUS have their limitations. They have a certain "envelope" of movement within which they are fine, but leaks are still possible outside that envelope, e.g. when stretching to paint a wall or lifting heavy objects. What these appliances do though is to remove that awful gloom of always having to consider the effect on incontinence before doing anything.

In the unlikely event of the sling not working, an AUS is still an option, and those definitely do work.

Hi John,

I'm still suffering with stress incontinence ( mainly when walking the dogs  )  at 21 months post RP.... ( 1 pad per day )

Although I'm still  hopeful that I will see further improvement in time, I too am considering the possibility of a sling implant in the future...

At the moment I'm reluctant to proceed any further, and am not totally convinced that this is the best course of action for me at present.

With the exception of  'tonypw' who has already replied with his advice and personal experience, I'm not aware of anyone else on here who has had that procedure..

Not sure what the stats say about success rates..... obviously all surgery carries risks and I'm anxious that things are not made worse..

This is just my personal take on things and you should not let this influence your decision in any way.

Like you, I would be very interested to hear from anyone who has had success with this procedure and is now dry..... and by 'dry' I mean dry... without the need for pads of any kind...

Best wishes
Luther

I had the procedure yesterday 29/03/16 by Mr Terry and Mr Ria at Leicester General

I woke from the surgery feeling as you do but nothing to bad...there is a large amount o padding between my legs just below the scrotum where the site wound is ... Everything is quite bruised down there and swollen there are no puncture winds to my stomach which they said there would be ?? But can't say I'm unhappy about that .

Morphine paracetamol and codeine are keeping the pain in control and I have been carheritised.

It's the morning after (30/3) and I haven't sleep too well mainly due to the sleeping position as I can't turn and have been flat on my back since surgery mobleasation today..also the obligatory "waking dead" patients have kept me awake lol seems to be a running theme where ever I have treatment.

It looks like a 2 night stop in here so I'll ask for some stronger sleeping medication for tonight........ My main worry at the moment is of the "tapes" being too tight as I being hard to pee when the catheter is removed ...the thought of "self catheterisation " frightens me to death at my age...well over and out for now more to follow thanks all 👍🏼🙈

Just wanted to wish you a speedy recovery Fire and best wishes for a successful outcome

Initially my hopes were high when the catheter had been removed, I went to the loo for my first pee and although the flow had reduced (as explained and expected) and was pain free we found I could only pass approx 100mls leaving some 250-350 mls in my bladder I must have peeed in at least 6 bottles and had bladder scans afterwards but still I couldn't empty,....they wanted a residual of 0 to 100/150mls ......the decision was to re catheterise me to my disappointment !! So I have been sent home to return on Thursday 7th to have the catheter removed and to see if everything has settled down to allow me to empty my bladder sufficiently.......Iam hopeful as I have been measuring my voids and they do seen to be around the 250/300 mls I know this is with the catheter in but I am also bypassing it so I feel I have the ability to achieve the "pass" test lol Now the bad news if I can't empty my bladder I've been told I have to "self catheterise " which at 54 I'm dreading so wish me well folks !!!!!

Pain wise post surgery is really good usual pinch from the stitches and a couple of nights discomfort but I'm really surprised considering where the incision site.

See you all Thursday finger Xd all goes well 👍🤓

Oh, sorry. Sling operation and self-catheterisation were separated by about four years. For me, the sling worked beautifully at first, and for the next six to eight months. However, something caused it to slacken off (maybe the inguinal hernia I had repaired around this time).

Four years or so later, the leakage was bad enough to justify an AUS, but I had to have a stricture repaired first. The self-catheterisation was to keep the stricture open until it had healed.

On reflection, I should have opted for the AUS instead of the sling, but I was hoping that I might still see more of an improvement in my own sphincter control. Also as an ex-engineer, a solution with zero moving parts as opposed to three in the AUS appealed.

That's really good news JK!

So pleased things are working out for you.

Not only that, but it has given me, and others like me who may be considering having this procedure encouragement also.

Once again, many thanks for the update.

Luther

Ours stats and journeys are similar in may ways.

How strange incontinence can be, I walk the dog twice a day about 3 miles in the morning 1.5 in the evening, I kick his ball, bend down to pick up his pooh, no leaks, I leak when I am sitting down usually because I twist or bend and I leak about 1ml in the night.

Since going onto daily sildeafil my incontinence improved and I have not done a PFE since mid Jan.

Fire thanks for the reply.

Wish you both well with your recovery.

Thanks Chris