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An implanted cuff and pump that keeps the urethra closed until you squeeze the pump to pass urine.
NICE NG131 says to refer people with prostate cancer who have intractable stress incontinence to a specialist surgeon for consideration of one. Prostate Cancer UK says it is usually suitable for men still leaking a lot at least six months after treatment, that previous radiotherapy raises the risk of infection or device failure, and that some men need a further operation. An internal male sling is the lighter alternative for men leaking two to three pads a day a year after treatment.