Here is how I use a clamp.:
- despite all the caveats about not wearing it more than two hours straight I have been wearing it 16-20 hours a day.
- take 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 needing only 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. Do frequent visual checks to see any irregularities in appearance..
- On the off chance there is some chaffing I use a skin cream.
- IMPORTANT: Try different brands to see which fits best. Ill-fitting clamps can be ineffective and irritating. After trying 5 brands, I use Weisner.

I would certainly try this before getting an AUS or a Sling. I would opt for a surgical fix after using a clamp. No restrictions on activity. Can be worn with anything, shorts, jeans, bathing suits.

FYI: I’ve heard an AUS is not recommended if there was radiation. You may eventually need salvage radiation if PSA rises so I wouldn’t rush into surgery right way. Discus this with your doctor. And as for the non- surgical alternatives to a clamp, wet pads and briefs are gross, and external catheters require wearing a piss filled bag tied to your leg and the equipment can and will malfunction (turn over in bed the wrong way) leaving a mess.