What are the best incontinence clamps post-surgery?

Hmm, I just found this thread, and I'm glad I did. I recently (8-5-26) received a living kidney transplant, which is awesome. What isn't is that I evidently suffered a traumatic catheter insertion, 7-days with the catheter, and am now dealing with post-surgery incontinence. The other day, the urologist removed the stent, which is part of the transplant surgery. He immediately informed me that I need a new sphincter, but it has to wait one year after the transplant due to my immunocompromised state and to allow my innards to heal. So, I've been trying different pull-ups, pads, etc., and am now looking into my long-term options. One of which is, of course, a clamp, which brings me to this thread. I will hopefully meet with him this week before driving the 3+ hours home to get his opinion and learn what options I can safely look at.

Thanks for any input/insights etc.

@michael219
The Wiesner clamp is very comfortable comes with three different sizes. I put it on and then forget it’s on because I don’t feel it it, though it’s so tight I can’t pee through it. Amazon sells them for about $40. If I leave it on for three hours, I feel it and want to move it.

With clamps, you need to relocate them every couple of hours if you’re going to keep them on continuously.

They really work.

@jeffmarc - thanks so much for your quick reply to my post and the suggestion about the Wiesner clamp! I will check it out once I obtain approval from my transplant team & urologist at the hospital. It is possible that due to the nature of my situation, a clamp may or may not be usable; I am in the early learning stage.

Some clamp brands like Lunderg are hard to find in Europe. The "teeth" on the Wiesner clamp look a little intimidating. Has anyone tried the Pacey Cuff (available here)? Thanks!

Wiener clamp worked fine for me. Weird at first, but on walks and bike rides, it works great and you do not know it is there. I bought mine on Amazon. The only problem I have now is I have not leaked in almost 2 years and still have the clamp. Only needed it about 2 months.

@beren
I don’t know what you mean by teeth on the Wiesner Clamp.

It is totally covered with rubber like material on the top and the bottom there are no teeth. Maybe you’re thinking about some other clamp.

@beren I used pacey cuff during my healing period. I found it more comfortable than the others with a much thinner profile. It did the job while my nerves and sympathetic system healed and adjusted, which it did.

@tjm53
That thing looks almost exactly like the Wiesner clamp.

@jeffmarc Not in person. Started with Weisner until Therapist turned me on to Pacey. .

There are a few ways to reduce or eliminate pinching or irritation.
- Place a strip of toilet paper, paper towel or a piece of fabric on the pads.
- Rub on a thin layer of 3M Cavilon Durable Barrier Cream for Skin Protection
- Change location of the clamp along the penis shaft after each urination.
- Do not over tighten.

I’ve been using the Wiesner clamp for 4 years for as many as 18 hours a day. I found the Lundberg clamp to be fragile, the plastic holding the pad on broke off. The Pacey was extremely difficult to tighten, and when it was finally put into place it cut into me and was somewhat ineffective.