AUS AMS 800 revision surgery

My AUS required replacement two weeks after the initial implant surgery. The cuff was too small and I was unable to urinate. The day of the original surgery was a nightmare and I ended up with a Foley cath until the AUS was replaced. Apparently I am just in between sizes as the new one is a bit loose and I have required a pad everyday since then. It has become worse over the years and I now typically use two a day. Fortunately I only drip slightly when sleeping and just keep a dry washcloth tucked between my legs.

The revision surgery went okay. Of course, the incision in my perineum had not fully healed yet so the procedure itself was less traumatic physically. Now five years later I have discussed replacement with my Uro and with a specialist. The surgeon scoped me last month and said there is no urethral erosion and he could not guarantee that another replacement would be any better than what is currently in place. Plus he added that there's always the possibility of things being worse. I replied I wasn't looking forward to going thru that surgery again, so agreed to come back in a year or two.

My Urologist said to enjoy my life (not having active cancer) and not change anything. In your case, I'm guessing you're now in your mid seventies. Your recover from the surgery will likely not be like it was twelve years ago. My thinking was to get mine replaced while I'm still young (72) but the surgeon said that I would then be facing another replacement surgery in my eighties. So for now I'm sticking with what I have rather than risk any additional complications.

BTW there is an AUS support group on Facebook at https://www.facebook.com/groups/ams800/

Thanks for the advice on the support group on FB. I joined!
I also appreciate your story and comments. We all have different stories but many similarities that are helpful. I think you have made a wise choice. As Dr. Breyer said, "better is the enemy of GOOD"
I too was concerned about waiting until I was too old to get a revision. I was 73 or so at the time. Dr. Breyer told me that he does lots of these on guys in their 80s. That's the big reason I decided to wait and leave well enough alone. I don't want to be laid up for a few weeks and risking any other complications from surgery.
Wearing only one pad a day is no big deal once you get used to it and an occasional leak. I find it helps to replace a pad if one gets too full because of stress incontinence from swinging a golf club and drinking too much liquid. Seems I always leak when I sit in my office chair too long. Usually because the pad becomes misplaced. I am now 79 and am feeling really good and blessed by GOD. I am hoping to make it to well in my 90s and would prefer not to have a revision in my later years. I may wait until I am 85 or so and then depending on any other health issues get a replacement done then.
BTW, I try to drink lots of water. I had 4 UTIs back in 2009 and pretty much concluded that I was not drinking enough water, especially since I was living in the Nevada (Reno) desert at the time. Good to keep those pipes flushed out even if it does cause more urination and pad filling.
All the best my friend(s).