I've been using Cialis for about one year, taking 5 mg per day, except for taking 20 mg twice per week. I have stopped taking it two or three times to test whether it is making a difference in ED, and I see a definite difference, so I have continued taking it. I did not know it had an impact on incontinence. 16 months post surgery, I am still having trouble with considerable leakage when I am standing or otherwise active (not sitting). Is there a connection between Cialis and incontinence?