I would recomend going to a specialist who deals with mens incontinence as his primary focus. I have to believe that these guys are more up to date on which device is the more appropiate for your situation. I have heard that a sling is more appropiate when leaking is not 100%. THe specialist I when to did a fancy version of a urodynamics test then cyctoscopy and his recomandation for my case did not include a sling. There have been a few people here on this site whose sling implants have been ineffective or worse ( see Tallguy's journey) but the latest sling feedback has been from Worried Guy and his sling has worker for him. However, it might be that we don't hear much when some of these slings do work out. In my case my leakage was 100% during the day, ie all my urine leaked and zero trips to the toilet during the day unless I was reading, driving or otherwise sitting still. They call the AUS the gold standard for incontince and there is a reason, it works.
06-08 1st biopsy neg psa 4
10-09 psa 5.5 2nd biopsy 1/12 pos. 10%, G(4+3) age 65
12-15-09 RRP Tulane NOLA Dr Lee
Path, 1%, clr marg, no EPE, no SVI, nodes cl, G(4+3)
100% incontinent @ 12 months
ED, pre-op severe, post op total
10/10 Dr Boone, Methodist recomended AUS
AUS/ IPP performed 1/11/11 Methodist Houston
post op psa's 0.04,<0.1,<0.1,<0.01@12 mo.