@surftohealth88 Alan Wein continues his discussion with Craig Comiter about male stress urinary incontinence treatments, focusing on artificial sphincters and emerging technologies. Dr. Comiter explains that artificial sphincters provide more reliable outcomes than slings but with higher risk, achieving over 90% patient satisfaction with 20% never leaking and 77% using one pad or less daily. Long-term efficacy may decrease due to cuff or urethral atrophy, but replacement restores effectiveness. He highlights several innovations: the ATOMS sling, ProACT adjustable periurethral balloons, and electronic artificial sphincters including the Artus and UroActive systems. These electronic devices could offer remote control, automatic cycling, and catheter-sensing capabilities. Now to try to find out which one is right for me. Thanks for the replies. My stress level is at a all time low. When you find out, there is still hope you can take a break and put your mind at ease.