Hello! Our situation is uncannily very similar to yours. My husband also had a prostatectomy in October, 2022 at age 69. His incontenance post surgery went away within 8 weeks. But, he still had a residual bit of cancer detected three months later. He had seven weeks of radiation April through June of 2023, along with six months of hormones (ending October, 2023). He has been cancer free after the radiation. But his incontenannce has gotten progressively worse. He went through 8 weeks of pelvic floor PT at UTSW and another 8 weeks at a local hospital. He saw no improvement. He enjoys cycling, martial arts, and running, so he does not want the artificial sphincter. He was tested at Mayo and they said he showed minimal damage from the radiation and the doctor thought ProAct would help him, even though many doctors will not do the procedure on someone who had radiation. He will have his surgery Monday. My understanding is that it will take several months of followup visits and adjustments. I will let you know how that goes! I, personally, am very encouraged. A side note - he traveled to Dallas for his 8 physical therapy visits, incurring flight and hotel costs each time and we will travel to Mayo about 5 times, incurring flight and hotel costs. That is how miserable he is and how willing he is to try this. If it reduces his incontinance by just 50%, it would be a huge improvement.