Man has to do what he has to do. If you look into the AUS Dr. Bob B. (Michigan uro) installs two interior bands (or whatever they are referred to as) instead of the standard of one, patients had better results and like 100% non-leakage. Here is what I learned on AUS at a PCa seminar gig:
Device will last about 10 yrs., then you may have to have it replaced (silicone wears)
Hidden pump device in scrotum (you can decide which side if you like)
60 min. proceedure with around 96% recommendation rate from prior patients
3-small incisions made to do this, basically hidden
you can never ride a bicycle again (can wear and ruin this device is claimed)
takes 4-6 weeks to heal after surgery is done (not super quick healing)
insurance and gov't insurance usually covers the whole deal
device has been around for decades now and used for moderate to severe incontinence
You might have to seriously consider such, but having absolute control is priceless.
Dx-2002 total urinary blockage, bPsa 46.6 12/12 biopsies all loaded 75-95% vol.; Gleasons scores 7,8,9's (2-sets), gland size 35, ct and bone scans look clear- ADT3 5 months prior to radiations neutron/photon 2-machines, cont'd. ADT3, quit after 2 yrs. switched to DES 1-mg, off 1+ yr., controlled well, resumed, used intermittently, resumed useage