Managing Urinary Incontinence After Prostate Surgery: Treatment Options & Support

Prostate cancer surgery can carry a risk of side effects, including urinary incontinence. While this problem is usually rare a year after the procedure, some men may suffer persistent urinary incontinence that requires treatment.

Pads

• Absorbent pads made especially for men may be worn for early urinary leakage issues in the first weeks after surgery. A mattress cover at night might be recommended.

Kegel Exercises

• Once the catheter is removed after prostate surgery, some physicians recommend Kegel exercises. These pelvic floor exercises help to strengthen the muscles that start and stop the urinary stream.

Medications

• Although not as yet FDA approved, tricyclic and duloxetine antidepressants are sometimes prescribed for urinary stress incontinence caused by surgery. Stress incontinence usually occurs with coughing, sneezing or strenuous activity.

Bulking Agents

• Strengthening the urinary sphincter with bulking agents such as Durasphere and Contigen can help with incontinence, but can cause side effects including bleeding, infection and urinary retention.

Sling Procedures

• When exercises and medications do not work, a sling procedure may be indicated. A silicone sling is attached to the pelvic bone by metal screws, compressing the urethra and decreasing urinary leakage.

Artificial Sphincter

• In severe cases, an artificial urinary sphincter may be surgically implanted to treat incontinence.