Stress urinary incontinence in men after prostate surgery is usually a result of intrinsic sphincter deficiency. Active conservative management with fluid restriction, medication management and pelvic floor exercises is indicated for the first 12 mths. If bothersome incontinence persists, urodynamic evaluation is indicated to assess detrusor storage function, contractility and sphincteric integrity. Standard surgical options include urethral bulking agents, artificial urinary sphincter (AUS) and male sling. Periurethral injection of bulking agent is satisfactory in only a minority of patients but AUS and male sling are the most common surgical treatment. AUS seems to have a higher success rate than male sling. AUS is indicated in men with hypocontactility of the detrusor as adequate detrusor contractility is needed to overcome the fixed resistance of the sling. However, infection, erosion, and revision rate for the male sling seem to be somewhat lower than that for the AUS .