I am now 10 months post-RARP. The good news is that my PSA remains undetectable, which is a huge relief. Unfortunately, I am still dealing with significant incontinence despite diligently doing pelvic floor exercises.

I would rate my quality of life at about a 7/10. I am gradually learning how to navigate daily life with pads and incontinence clamps.

I have started educating myself about an artificial urinary sphincter (AUS) and have already consulted with a couple of specialists in my area. However, I still have a lot to learn about the procedure, its long-term outcomes, and its potential unintended consequences before I can make an informed decision.

At this point, I'm simply not mentally or emotionally ready for another invasive procedure—especially one that involves having a mechanical device permanently implanted in my body.