Transcorporal Versus Standard Artificial Urinary Sphincter Placement

Procedure/ Methods: Patients will be identified in the urology clinic upon their standard of care visit for AUS placement. The procedures that determine whether a patient is a surgical candidate are as follows: * Incontinence Impact Questionnaire Short Form (IIQ-7) and Urinary Incontinence Symptoms index (ISI) standardized questionnaires * Physical examination * Review of medical history that would preclude surgery * Cystoscopy to evaluate and rule out stricture * Uroflow/Post void residual to ensure adequate bladder capacity Pre surgery work up includes: * Urine analysis and if indicated urine culture and treatment of urinary tract infection * Flow, post-void residual if possible * Cystoscopy to rule out bladder neck contracture or urethral stricture * History and physical examination * Treatment of men with 2 days of chlorhexidine wash to the perineum * Incontinence sexual function questionaires * Aminogllycoside and other abx prior to surgery * 24 hour pad weight Post-surgery follow up: * Routine removal of catheter within 5 days post-op * Treatment of antibiotics post-operatively to be limited to 1 week * Activation of AUS at 4-8 weeks post-op * Incontinence sexual function questionnaires * 24 hour pad weight Routine follow ups will be conducted at 2 weeks, 6 weeks, 3 months, 6 months post-operatively, and yearly thereafter (SOC). Patient characteristics that will be collected include: * etiology of the incontinence. * pre-operative pad usage * prior anti-incontinence procedures * adjuvant therapy for prostate cancer such as radiotherapy, or other history of pelvic radiation * post-operative urodynamic studies * cystoscopy findings