Male Urinary Incontinence
Urinary leakage in men falls into two categories - incontinence that develops alongside other bladder symptoms and incontinence that occurs after pelvic or prostatic surgery.
Overactive Bladder Incontinence
Sudden urges to urinate followed by leakage is a symptom of overactive bladder syndrome. It can be primarily a problem with the bladder itself but more commonly it results as a consequence of urinary obstruction caused by an enlarged prostate.
Post Prostatectomy Incontinence
1 in 10 men can have problems with persistent urinary incontinence after surgical removal of the prostate gland (radical prostatectomy). It doesn't matter how the prostate is removed (laparoscopic or robotic prostatectomy) sphincter weakness can occur. Usually pelvic floor excercises will get the majority of men completely dry by 6 months. For those who are not dry by 6 months artificial urinary sphincter or male sling implantation should be considered. Persistent incontinence requiring pad use after prostate surgery should not be accepted as effective and proven treatments are available.