Male sling procedure vs urinary sphincter

First, I'm grateful to be alive after fighting a stage 4 Gleason 9 Ps cancer since 2011. After a radical prostatectomy and 40 greys of radiation it has left me incontenance. I'm tired of wearing depends and go through On average two a day. If sick with a cough, that number increases to 6 plus a day.
I have an appt in July with a surgeon to explore options and would like to solicit your counsel and experience of either having a sling inserted or having a urinary sphincter procedure. Have you first tried a sling and not satisfied and then went to a sphincter? My regular Urologist that follows me says that the odds of either working after su much radiation is less than 50%. Is that what you have been told?
Thank you in advance for your replies, experiences and counsel.

I got my AUS a couple of years ago and it was life changing. Before I used depends pads and used 6 to 8 per day. I now use the shields for drips and dribbles on some days and other days don't need them. Normally just change when I shower. My uro that did the AUS also does the slings but after he did a a look into the bladder neck said the sling was not for me. I also was G-9 and had RP and 39 radiation treatments. I question your regular uro's estimation of success at less than 50%. I would think with the AUS you could get 100% out of the depends.
Good luck and let us know how it turns out,
Noggin

Post Edited (Noggin2u2) : 5/29/2024 5:53:08 AM (GMT-8)