Thanks, Colleen. I've had my AUS for almost four years. My experience is similar to scullrower. It took me several months to heal and become accustom to using the AUS. I did not need to have a second surgery to address the cuff size. Yes, the valve is sensitive, so I need to make sure I'm sitting on a flat surface. When I have caffeine or alcohol, my bladder is more sensitive and causes leaks. I always wear a light pad. I'm on a plane several times a month, and lifting my suitcase into the overhead bin can cause a leak. I have had to learn to Kegel before I lift or stand to help with the leaking. I did have my AUS during my radiation, which may have impacted the strength of it. Now for the good news: the AUS allows me to live my life normally. If you'd like to discuss in further detail, I'm happy to connect virtually or by phone, just private message me. I wish you all the best.