Confidence Clamp by Lunderg - Comfortable Urinary Incontinence Clamp with 3 Adjustable Sizes & Travel Bag - Mens Incontinence Products

Today, I am ordering my third replacement. Mine broke. I am ordering again because I am so pleased with the performance and results I have with this device, I can’t be without one so I have a spare. I highly recommend this device for men who are incontinent for any reason. It works. It is easy to use and is not uncomfortable to wear. That being said, there are a few things you need to know. The device comes with 3 “stabilizers”: small, medium and large. I would refer to these as “restrictors”, since they apply pressure at a point where they can restrict the flow of urine. If you hold the Large and Medium side-by-side, so you see the letters L and M stamped in the detent, you can clearly see that the medium is bigger than the large. Even the picture in the manual shows the medium looking bigger than the large. A mystery to me… I use the medium stabilizer. When you clamp the unit closed there are 4 levels of tightness. I rationalize that more restriction of flow requires less overall pressure of closure. I clamp to the second notch. Very comfortable. Not too tight but works just right. It can be a work in progress for new users.On one of my units the mounting socket can loose from the bottom bar. Easy to fix with a drop of superglue. To open the clamp, you have to push the lever away from the upper bar posts and down. Bending this lower bar places stress on the bar at the point near the lower stabilizer. After months of constant use this bar will fatigue and clack. See picture. Can’t fix that. Too much stress. Get out your spare and order another. A small cost for the results. I have been using this item for well over two and a half years now with great success and satisfaction. I wear it seven 24.

Looks to be well made. The product is very adjustable. For each size, (S, M, L) there are 4 dependable clip settings, so experience will teach which setting is the best in a dependable way.Without knowing how fast the pads will wear out, durability of pads will not be known until they begin to wear or get old, but in any case, replacement pads are available, but I don't know anything about pricing.One good thing. Because there 3 sizes, and it takes two slightly different pads to use, there is 1 top pad and the choice of 3 bottom pads. Once your habit is established, only one size of the bottom pads will be used, but in the long term, all three sizes use identical pads with S,M, or L internal mounting plastic structure, and apparently one can stretch the bottom pad quite a bit to to put it on the internal plastic structure. This may means that when the bottom pad starts to wear out, potentially you already have two spare bottom pad replacements that could be slipped off their internal mountings and put on the mounting of the size that you use, thus lengthening their life by a factor of three. This does not apply to the top pad as you have one of these.The comfort of wearing the device seems to be OK, so far I have had no problem with circulation, but I have not yet used it enough to find what is best. It is a little hard to tell how tight to make it, but that will become clear with habitual use.The pads with their corresponding internal plastic structures are extremely easy to remove as a unit to clean. The cleaning process promises to be very easy, WITH ONE POSSIBLE CAVEAT for the long term.I don't yet know if this caveat is important or not. The caveat is that the pads are loosely mounted on their corresponding internal structure like a loose glove and if something gets inside, it may take some effort to clean out the insides of the pads and over the long term it might become a source of contamination if you don't.There may be the possibility of urine or water getting inside the pad (e.g. inside the "glove"), although generally I don't think it will necessarily get wet in this way, as things will probably tend to stay dry when device is properly used, but I don't have experience yet to know how this would tend to turn out.If you wash the pads with soup and water, they would have to be well rinsed shaken out and let dry so that water on the inside of the pad didn't eventually mildew. Otherwise wiping off the outside can be very easy without this problem.ONLY if this turns out to be a problem in the long term:It is probably not a good idea to frequently take the pad off of its plastic mounting to clean the insides of the pad and the plastic mounting structure because to take off or put on the pad the mounting structure it would be necessary to stretch the 1/4" hole into the pad to 1 1/4" in order to get it on or off the mounting structure. Clearly this was done in manufacturing without harm to the pad, but it is not really designed to easily or frequently do this between uses.On the other hand with a bit of trouble, if it held up in this kind of manipulation, but once in a long while it may work to turn the pad inside out after taking it off of its plastic mount, and completely clean the insides of the pad and its mount.Generally, so far, I like the device and it solves a several problems for me.

I have experienced incontinence following prostate surgery. I was leery about using something like this. It just sounded weird.It has been a life saver. I had been using 5-6 Depends a day and carrying a couple around with me wherever I went. I now use 1 or 2 a day, which saves me a bunch of money, as my incontinence appears to be a long-term problem. I have lost “leak anxiety” and don’t feel the need to always have an extra diaper with me. The device is very comfortable, to the point where I don’t really notice that I’m wearing it.Here’s the only issue. The clamps came with a set of 3 inserts of different sizes. This allows you to find the clamping pressure that keeps you from leaking without clamping so hard that you block the flow of blood. I have used this for months. While I do leak a bit, I think that’s a good thing as I have yet to cut off the blood flow, which would be really bad!I saw several such devices for sale, some much more expensive than this item. Save yourself some money and go for this clamp.Update: I am now one year past my surgery. While I am not fully recovered, my leakage issue is greatly improved. Without contradicting anything in my previous review, I feel I should point something out. On the advice of a doctor at Mayo clinic, I began reducing my use of the clamp after about 4 months. What I found was that my symptoms had improved a great deal more than I thought. The 4-5 pad a day need I thought I had was really more like 1 or 2. I gradually relied less and less on the clamp and began using it only when I exercised or went out for a few beers. At this point, I almost never use it. I guess what I'm saying is that at some point you should check on your progress by not using the clamp. You may find that things are more improved than you thought. And, of course, use it as much as you need to until things improve. Good luck!