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I'm scheduled again (for the 4th time) for an AUS (AMS 800) implant

Posted , 4 users are following.

glenn77
glenn77

Previous attempts were unsuccessful because of the strictures that originated with my GreenLight Laser procedure on March 10, 2016.   A patent (open) urethra is required so a Foley can be placed at the start of the AUS implant.   I had another urethrotomy two days ago to start the process.  I will have the Foley (Fr 28) in place, and it's pretty uncomfortable.

I will go back in about 6 weeks (the normal standard is 12 wks after a urethrotomy) to have a cystoscopy see if I'm patent/open.   If yes, I have the implant surgery already scheduled.  If no, I'm still stuck.   I've had Foley catheters a few times before, but don't think they were this large.  As it's silicone (latex intolerant) it's not real flexible.

Lying flat on my back in bed, the way I normally sleep, I don't have any discomfort.  I took a pain killer just in case last night, and I actually slept all night long.  A small blessing, I guess, since I've been getting up 3-5 times every night for at least 10 years.   The overnight bag had collected 1800 cc of urine while I slept last night.  

1 like, 12 replies

12 Replies

  • glenn77
    glenn77

    Posted

    Meant to say, the Foley will be in place for one week.
  • hank1953
    hank1953 glenn77

    Posted

    Thanks for sharing, Glenn. Hope things work out well for you. Keep us posted. Hank
  • hank1953
    hank1953 glenn77

    Posted

    Is 1800 cc your typical overnight volume ? If it is, it's high. Hank

    • glenn77
      glenn77 hank1953

      Posted

      Haven't really tracked it that much, but I think 1000+/-200 is the typical night's output.  I get up typically 3, sometimes 4 times, and 250-300 cc is typical void.  If there is anything good about having the Foley for a week, getting a full night's sleep without waking is it.

    • hank1953
      hank1953 glenn77

      Posted

      Me too. I am currently doing 2 liters a day, but trying to bring it down to 1.5 . Too much volume was one main cause of my bladder problem. Now with the Foley I guess you can drink more. Later, you may want to reconsider. Hank
  • nealpros
    nealpros glenn77

    Posted

    Normal urine output FOR 24 HOURS is a litre and a half. You are very high. Drinking a lot of fluid is a habit. I used to do that too. Over time, I was able to greatly decrease my input, and therefore, my output. Give it a shot, and it might help.

    Neal

    • glenn77
      glenn77 nealpros

      Posted

      I was really active until last year when my GL disaster occurred.  So I would sweat, requiring more water.  I don't drink sodas, and rarely have a beer.   I usually stop drinking by 7 p.m and go to bed around 11.

      This large catheter is killing me right now.  Tried to just take 2 Tylenol and avoid Tramadol, as Tramadol 

  • Pepasan
    Pepasan glenn77

    Posted

    Thanks for posting. Good luck with the procedure.
  • glenn77
    glenn77

    Posted

    Finally, some good news for me.  I went in over a month ago for another procedure to deal with my strictures so that I can have an AUS implant.  I had the procedure, generally called a urethrotomy, early in October.  I didn't know exactly what my urologist was going to do, but I know he had previously tried a balloon dilation, and then did a cold knife urethrotomy.   What I did notice after the most recent procedure was that my leakage during the day was greater, but more importantly, when my bladder would fill enough to wake me during the night, or even if I lay down for a couple of hours during the day, my average flow rate was very high, around 28 cc/second.  Last night, for example, I took a Xanax to be able to catch up on sleep.  I woke up, went to the bathroom and emptied 400 cc into the urinal, measured the time with a stop watch.  The average rate was 28.8 cc/second.

    This past Friday, I went in for a cystoscopy which was done by his fellow, since he was away at a conference.  The have a great set up with two large screens, so I was able to have a great view.  It was completely open all the way into the bladder without a sign of a stricture.  The urethra surface looked nice a smooth.

    My doctor had already scheduled the AUS implant when the urethrotomy and the followup cystoscopy were scheduled.  So 9 days from now, I will finally be able to have the AUS (AMS 800) implant. Then, somewhere between the first and fifth day of Christmas, the healing will be complete and the AUS activated.  I couldn't ask for a better Christmas present after all these months of living in wet depends or wearing a condom catheter and bag.

    • glenn77
      glenn77

      Posted

      I left out some important information.  Only when I received the statement for the procedure did I know the detail of the how the procedure was done.  Included was the cost of an Olympus plasma loop.
    • hank1953
      hank1953 glenn77

      Posted

      Glenn, it's great to hear. I am sooooo happy for you. Just hope the implant go as well. Then you'll be better than most of us here. Hank

    • glenn77
      glenn77 hank1953

      Posted

      I know, Hank, that there are a lot of people in the world who are dealing with worse problems than what I have.  Glenn
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