@jeffmarc I had my surgery done at Banner Health in Phoenix. I switched 2 years ago to Mayo Clinic Phoenix. Dr Wolters. He ran all the testing. Nothing particularly glaring about the surgery. I do have a very over active bladder that medication may help. He also sent me to 6 months of kegel PT at Mayo. I still do those exercises. However, I still leak. I went back to see him last fall and he recommended an AUS. He was not as fond of ProAct. He felt the AUS would be a game changer. I also had him look at an implant. He started me on trimix and that has worked quite well. After close to year of trimix and tadalafil daily I am almost back to normal. I had seen where you were having an AUS. I just worry about doing something where I make things worse. Life and PC seem to be manageable at the moment.