Have had an AUS 800 for a LONG time and I will share the good/bad as I've learned them. It is THE gold standard for continence after prostatectomy. Unfortunately, the design has a built in problem that will inevitably surface in the future--the cuff around the urethra will deform that delicate tube requiring either a "double cuff" or a replacement. My experience is that I had a very, very good 5-6 years with the first installation and a pretty good 3-5 years with the double cuff. Where I am right now, no point to replacing it again (due to advanced metastasized cancer) but I would not hesitate for a moment if I were in a better situation. Make sure you have a complete and thorough discussion with your urologist of the plusses and minuses involved. However, to my understanding, the AUS 800 is the only alternative to pads. BTW, don't be surprised if your urologist says they want no part of this--I had one that did so.