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9% of patients (15/19) achieved continence. Median time between AUS placement and PRB revision was 13 months (IQR 6-34 months). CONCLUSIONS PRB replacement appears to be a safe and effective salvage therapy for AUS patients with PRB herniation and persistent incontinence without mechanical failure. Intraoperative cystoscopic confirmation of enhanced sphincter coaptation appears to be a reliable predictor of treatment success. OBJECTIVE To characterize the evaluation, treatment, and insurance coverage among couples with ma