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What are the best incontinence clamps post-surgery?
The major side effect from my prostatectomy last year has been incontinence, which unfortunately has not improved despite consistent pelvic floor exercises.
Occasionally during the day, I use an incontinence clamp for an hour or two—typically when exercising or during social occasions. I initially used the Lunderg clamp, then switched to the Wiesner clamp based on recommendations from @jeffmarc . The Wiesner clamp has been much more compact and comfortable overall, but recently it has started to irritate my skin somewhat.
I would really appreciate any suggestions from others on different brands or types of clamps that you’ve found to be both effective and comfortable.
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@johnfinch Professional sources advise that if used properly, not overused or ratcheted too tightly, there is little risk. As I wrote earlier, I have worn it 18 hours a day with no ill effects. The plumbing remains in perfect working condition. I’m not suggesting anyone do likewise though.
Note: It’s estimated that approximately 10-15 million clamps are sold annually.
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2 Reactions@johnfinch
From my experience, irritation can usually be minimized by experimenting to find the right size combination and level of tightness—not too tight, but not too loose—and by periodically repositioning the clamp slightly forward or backward every couple of hours.
The risk of UTIs can also be reduced by emptying the bladder every hour or two, and by regularly disassembling and cleaning the clamp with soap and water.
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2 Reactions@johnfinch
I use the Wiesner clamp and when I put it on, I don’t even remember it’s there. I clamp it as tight as possible, and I don’t feel it. I’ve been using it for at least three or four years. I seldom keep it on for more than two hours, When I forget, and I have it on for three hours. I start to feel it and remember that I have it on and take it off.
Never had any infection issues.
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3 ReactionsReceived my Weisner yesterday and love it. I'm experimenting with the med and small and how many notches to lock it in on. I don't lock it to it's a max either per your comments. One last question should I order a second one for backup? Thanks
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1 Reaction@tspazok1
I found I have to lock it to the max four clicks or I can pee right through it. That means if I’m in the gym and exercising heavily, I’m going to be leaking a lot. Same with going out with people, I can handle between two and three hours, but then take it off, Not going to leak enough for the rest of the night for it to matter since I have a pad anyway.
They do say you can move it around every two hours, You should pee after that amount of time anyway, and at that point, you can move it.
Just another point of view from somebody that’s been using it for 5+ years. I’ve never found any need for more than one, They don’t get damaged. I can’t imagine any reason why I would need two.
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1 ReactionG’afternoon Gentlemen, I’ve recently joined your club, having a radical Perineal prostatectomy this July 7th. I know is very early in my recovery but the leakage is driving me crazy. I the only way I can control myself is reducing my intake to a bare minimum and just staying still. I go through garments one after another. That has brought me to the clamp option. My surgeon has given his blessing as long as I’m staying with my pelvic floor exercises and not just depending on the clamp. To be on the safe side they have me coming in today to scan my bladder.
As of March, I see you guys had tried multiple manufacturers. Im looking ordering and at staring with one or two today.
How are you all doing today? Does anyone have any updated information or experiences since March??
Any and all input will be greatly appreciated!
Frustrated and damp,
Allan
I have used two types of clamps during the day: the Wiesner or the Cunningham. To help avoid UTIs, I try to empty my bladder about every hour or so. At night, I use a night pad but no clamps. That’s how I’ve been managing so far.
In the future, I may consider an AUS implant for my incontinence and a sacral neuromodulation trial for my overactive bladder.
I wish you the best of luck with your recovery!
I concur with Soli comments. I have use the Wiesner and have been since 3/1/2026 after a UTI that I had wasn't treated properly for 5 months. That lead to an infection of my AUS 800 that had to be removed. No need to go into why and what happen its over. I try to empty my bladder about every two hours if I remember. At night, I use a night pad but no clamps. That’s how I’ve been managing so far. I'm very active, running everyday with the clamp and a pad and also working out 5 times a week. This is by no means that I'm comfortable with the clamp and pads during the day but I don't have a choice until my new implant in November. I'm scheduled for my third AUS 800 in November. First one lasted 12 years done at Cleveland Clinic then it malfunctioned, second one installed at Cleveland Clinic and it was infected by my UTI descirbed above. New one will be installed at UPMC Pittsburgh where I live no need to travel to Cleveland given my doctor in Cleveland recommended Dr. Rusilko who is very well respected in this implant.
If you need anymore help or info please reach out and I'll try to answer or help in anyway.
@tspazok1
Thanks for sharing.
Good luck with your next AUS installation.
@coachallan
The Wiesner clamp is comfortable To use and works quite well. You can move it around every couple of hours to make sure it doesn’t cause any problems. I know when I put it on I forget that it’s there and don’t even notice it for close to three hours. If I don’t set a timer, I forget to change it most of the time.
Amazon has the clamp.