@geno2853 I don’t know where to look for past posts. No matter. Here’s the lowdown.

I tried a half dozen clamps for fit and efficacy and chose the best for me. I have been using the Wiesner clamp for 4 years. All clamps come with a disclaimer to use sparingly (2-3 hours). I believe this is for lability protection. My thought is if used incorrectly (ie. the lower pad with the bump is worn upside down which can compress the blood vessel on top instead of the urethra on the bottom) blood flow would be interrupted. I slowly increased the time worn and use the clamp 18-20 hours a day, making sure the clamp is not ratcheted to maximum tightness. I wear one Tena max pad a day to catch the small leaks. I also try to pee every three hours or less and change the location of the clamp each time just as a precaution. Hope you find one that works. For me this has been a better alternative than going through more surgery.