Hello
My husband was in the same position as you, never regained continence post RARP which he had in January 2024.
He seriously considered an AUS but never felt quite comfortable with the idea, partly because of the manual operation of it and more importantly because of the possibility of erosion of the urethra and likelihood of having to have a second fitting 7 years or so in the future.
We researched ATOMS surgery and all that it entailed and he felt he would rather have this option. It’s a newer operation, only done by very few surgeons in the UK (was only done in Reading until recently but that surgeon has now trained others in Newcastle and Edinburgh, so he told us). Not widely available on NHS, we decided to pay privately.
Steve had his op at the end of July then back to clinic for insertion of fluid into the device middle of September. His incontinence has improved so far by 90% so he is really pleased and he will have a further top up to try and get him totally continent in a few weeks. There’s no manual operation needed on his part.
It’s taken him longer than he thought for all the discomfort to go but he’s getting there and he’s very happy with the outcome so far. Let me know if you need any more info.
Debbie