Are you happy with your Artificial Urinary Sphincter?

Posted by mirsy @mirsy, Oct 22, 2025

Has anyone here had the above procedure done and if so are you happy with it. The Urologist is recommending it for my 80 yr old husband. Thank you very much for your input.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Profile picture for rob275 @rob275

I’m 79 and had an AUS installed via outpatient surgery 6 months ago. I went from about 11-12 pads a day to 0. Hardly any leaking incidents and I can mostly avoid them by getting up carefully from hard surfaces or prepping myself if a strong sneeze is coming. There’s tenderness in the testicals but it’s hardly noticeable. For me, the AUS has been wonderful, letting me function essentially like a normal person.

Jump to this post

@rob275
Sorry all for my misspelling of testicles. 😊

REPLY
Profile picture for lsk1000 @lsk1000

@peterj116 I’ve worn the Weisner clamp 16-20 hours a day for 3 years with no ill effects. I Don’t clamp too tight for 100% effectiveness. Most leaking occurs at night when clamp is off. I use one pad a day. Change location of clamp with every void.

Jump to this post

@lsk1000 Oh. That's good to know. Everything I'd read before settling on the AUS said 2 hours max. Glad it's working out.

REPLY
Profile picture for jeff Marchi @jeffmarc

@lsk1000
I have used the Weisner clamp for a few years. As you mentioned, when it’s on, I really don’t feel it, unless it’s been on for more than a couple of hours. You do make sure to not wear it for more than two hours without repositioning it.

People have reported some serious problems from leaving a clamp on too long.

Jump to this post

@jeffmarc Hi, I’ve had no ill effects wearing it 16-20 hours a day. It’s been three years now. I have just begun to alternate placement location (there are realistically only 2) after every void as a precaution. I don’t tighten for 100% effectiveness. Happy to need just one each day of a Tena Max Absorption pad (IMO the best on the market, blows Depends away).

REPLY
Profile picture for mirsy @mirsy

Thanks for your reply. I am not sure if my husband changed the location with every clamp. Just be extra careful.

Jump to this post

@mirsy Thanks for the heads up.

REPLY
Profile picture for lsk1000 @lsk1000

@peterj116 I’ve worn the Weisner clamp 16-20 hours a day for 3 years with no ill effects. I Don’t clamp too tight for 100% effectiveness. Most leaking occurs at night when clamp is off. I use one pad a day. Change location of clamp with every void.

Jump to this post

@lsk1000
Thanks for the info on the clamps. I did some research and it seems that the clamp is not recommended for long term use, but it seems like you are doing great with it for 3 years. Any tips on your long-term success?

REPLY
Profile picture for jeff Marchi @jeffmarc

@lsk1000
I have used the Weisner clamp for a few years. As you mentioned, when it’s on, I really don’t feel it, unless it’s been on for more than a couple of hours. You do make sure to not wear it for more than two hours without repositioning it.

People have reported some serious problems from leaving a clamp on too long.

Jump to this post

@jeffmarc
Well, you see the guy a few messages up that had the ulcer, And I’ve heard of another person saying they had an infection from having it on for too long.

I don’t find it much use if I don’t tighten it down all the way, Especially at the gym.

I just don’t want to take a chance of leaving it on for many hours when they tell you to change it every two hours, And yes, there’s not many spots to put it in after prostate cancer surgery.

I have found that after about three hours it starts to hurt. Forgot to remove it A couple of times. I guess not tightening at 100% can resolve that problem.

REPLY
Profile picture for lsk1000 @lsk1000

@jeffmarc Hi, I’ve had no ill effects wearing it 16-20 hours a day. It’s been three years now. I have just begun to alternate placement location (there are realistically only 2) after every void as a precaution. I don’t tighten for 100% effectiveness. Happy to need just one each day of a Tena Max Absorption pad (IMO the best on the market, blows Depends away).

Jump to this post

@lsk1000 Good to know about the Tena Pads - thank you!!!

REPLY

Thanks for your reply. The whole thing doesnt sound as easy as I'd hoped. We see the urologist in a week. I'm not sure if he will find my husband strong enough to go through this procedure.

REPLY
Profile picture for bikeman @bikeman

@lsk1000
Thanks for the info on the clamps. I did some research and it seems that the clamp is not recommended for long term use, but it seems like you are doing great with it for 3 years. Any tips on your long-term success?

Jump to this post

@bikeman Yes, my strategy entails
- taking it off at night, which is a time when leaking is minimal.
- not over-tightening the clamp. I don’t aim for 100% effectiveness. I’m content to let some leaking and using one Tena Maximum Protection pad a day. Tightness can be tested by voiding with the clamp on. If you push and nothing dribbles out it’s probably too tight. Experiment.
- Insure the high spot on the bottom of the clamp is centered on the urethra.
- Change the position/location of the clamp with every void.
- On the off chance there is some chaffing I use a skin cream.
- Try different brands to see which fits best. Ill-fitting clamps can be ineffective and irritating. After trying 5 brands, I use Weisner.

REPLY
Profile picture for jeff Marchi @jeffmarc

@jeffmarc
Well, you see the guy a few messages up that had the ulcer, And I’ve heard of another person saying they had an infection from having it on for too long.

I don’t find it much use if I don’t tighten it down all the way, Especially at the gym.

I just don’t want to take a chance of leaving it on for many hours when they tell you to change it every two hours, And yes, there’s not many spots to put it in after prostate cancer surgery.

I have found that after about three hours it starts to hurt. Forgot to remove it A couple of times. I guess not tightening at 100% can resolve that problem.

Jump to this post

@jeffmarc Yes, reports of ulcers are concerning. Constant scrutiny is important.

I’m sorry to hear it gets painful after a few hours. I tried a half dozen different clamps, I used some that were ill-fitting or poorly designed and had to be over-tightened to be effective. They hurt like hell. By wearing it 2 hours a day you are likely using more pads than by dialing back the tightness and accepting a little leakage throughout the day. See my comment to @bikeman. Hope it will help some.

REPLY
Please sign in or register to post a reply.