What are the best incontinence clamps post-surgery?

Have you tried changing the size of the Weiser clamp to see if maybe it is too tight. There are 3 sizes.

Yes, Jeff. I tried various combinations of the three sizes and the four tightness settings of the Wiesner clamp and selected the option that worked best for both comfort and effectiveness. I used that setup without any issues for many weeks, while regularly changing the placement position.

However, more recently I’ve begun to notice some irritation. I also tried switching out the components, in case the pieces had lost elasticity or effectiveness after repeated use, but that didn’t resolve the slight irritation.

@soli
I used to us a Wiesner clamp but switched to a Cunningham clamp. I used it for a couple years before my AUS.
I found the Wiesner didn't work as well as the Cunningham.
I tried a few others also and always went back to the Cunningham.
HTH

I switched over to external catheters, without using the tubing and bag. I put a little paper clamp on its end. It was very comfortable and if the clamp got irritating, I covered it with cloth medical tape. It worked well for me, as I was able to empty any leakage by removing the clamp at the toilet. My penis didn't get irritated at all. Eventually I got a Boston Scientific sling which solved my leaking issue.

@denkea

Good to know. Thanks! I will look into he Cunnubgham clamp.

@denkea
That clamp seems to come in a 2 inch version and a 3 inch version which one did you pick?

@jeffmarc
I started out with the 3" version and subsequently went to the 2" version.
The best thing I liked about the Cunningham is that it is easily bent to adjust firmer or softer. With the others you receive in the package different inserts that you need to try.
I know you are interested in the AUS (I think you mentioned an April date) I hope you can get it sooner rather than later. It was a game changer for me.

@denkea thanks for your suggestion! I ordered a Cunningham clam today after seeing your comment! I have tried another tri of clamp with a large hump on the underside but it is so uncomfortable I can’t wear it!

I’ve use a Weisner clamp (after trying a half dozen for comfort) for 4 years. As opposed to popular opinion, I have worn it 18 hours a day without ill effects. The interesting thing I discovered is the surface of new pads are less slippery and more sticky compared to surface of pads that have been used for a while which get harder and less sticky which reduces irritation. Infrequently, I will use a hand cream to soothe the skin. Works like a charm. I’m pretty sure using something like mole skin will work but I don’t want to have to fiddle with an additional element when the problem is not serious enough for me.

The reason I never tried the Cunningham is because it uses metal, and foam pads of latex not silicone, which the manufacturer advises should be replaced every 3 months or sooner due to deterioration.

@denkea

I ordered the 2" clamp and look forward to trying it.

Since my incontinence hasn’t improved nearly 6 months after surgery—despite diligent pelvic floor exercises—my surgeon referred me to a reconstructive specialist for a consultation. The specialist recommended scheduling an AUS implant, but I told him I’m not ready to take that step yet.

I explained that I’m now working with a new physical therapist who is helping me practice Kegel contractions not just in isolation (e.g., lying down), but in coordination with real-life activities like walking, going up and down stairs, and getting up from a chair.

I’d like to continue on this path for now, and if there’s no meaningful improvement by the one-year mark, I will consider the AUS. That’s where my thinking is at the moment.