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How Men Can Manage Urinary Incontinence After Prostate Surgery

18th Aug 2025

You've taken a big step by undergoing prostate surgery. While it's often the right decision for your health, what comes next can feel unexpected: urinary incontinence. For many men, this condition feels frustrating, even embarrassing. But here's the truth: it's common, it's temporary for most men, and it can be managed effectively.

Let's explore why this happens, how long it lasts, and what you can do to get back in control.

Why Does Urinary Incontinence Happen After Prostate Surgery?

After prostate surgery, especially a radical prostatectomy, the prostate gland is removed or operated on, which can impact the muscles and nerves responsible for bladder control. This is why you may experience urinary leakage after prostate surgery, especially during activities like coughing, sneezing, or lifting weights. This type of leakage is called stress urinary incontinence.

Quick facts to know:

  • Most men experience some leakage after prostate surgery.
  • Around 80-95% of men regain bladder control within a year.
  • Some level of leakage during recovery is normal and expected.

Understanding the reason behind it is the first step in handling it with confidence.

How Long Does It Last?

One of the most common questions is: How long does urinary incontinence last after prostate surgery?

The answer depends on several factors:

  • Age and overall health – Younger, healthier men recover faster.
  • Surgical technique – Minimally invasive techniques often have shorter recovery times.
  • Pelvic muscle strength – Stronger muscles help regain control sooner.

Most men see improvement within 3 to 6 months, and many regain full control within a year. If it lasts longer, advanced treatments are available.

How to Manage Urinary Incontinence After Prostate Surgery

The good news? There are proven strategies to manage and overcome this challenge. Let's break them down.

1. Strengthen Your Pelvic Floor with Kegel Exercises

Kegel exercises are the foundation of post-prostatectomy urinary incontinence management. They work by strengthening the pelvic floor muscles that support bladder control.

How to do them correctly:

  • Imagine you're stopping, squeezing the flow of urine midstream.
  • Hold that squeeze for 5 seconds, then relax.
  • Repeat this 10-15 times every hour when you are awake.

Tip: Consistency matters. It can take weeks to months before you notice improvements, so stick with it.

2. Make Smart Lifestyle Adjustments

Your daily habits can either help or slow down recovery. Here are some lifestyle tips for urinary incontinence recovery:

  • Limit bladder irritants – Reduce caffeine, alcohol, and spicy foods.
  • Stay hydrated smartly – Drink enough water, but avoid excessive intake at once.
  • Maintain a healthy weight – Extra weight puts pressure on the bladder.
  • Avoid constipation – It adds strain to pelvic muscles.
  • Schedule regular bathroom breaks – Don't wait until the bladder is too full.

3. Consider Minimally Invasive Treatment Options

If exercises and lifestyle changes don't completely solve the problem, there are advanced urology care options:

  • Urethral sling surgery – A supportive sling is placed around the urethra.
  • Artificial urinary sphincter (AUS) – A small device that gives you control over urination.
  • Bulking agent injections – Helps the urethra close more effectively.

These minimally invasive treatments for urinary incontinence are safe, effective, and often life-changing for men who struggle with persistent leakage.

4. Medications and Therapies

Certain medications can improve bladder control, especially if there's an overactive bladder component. Sometimes, combining medication with pelvic floor therapy provides the best outcome.

5. Use Absorbent Pads, Temporarily

While you work on regaining control, don't hesitate to use absorbent pads. They help you feel confident in social situations while your body heals.

Does It Ever Go Away Completely?

For most men, yes. With time and the right approach, leakage improves significantly. If it persists beyond 12 months, treatment options for stress urinary incontinence after prostate surgery can restore normalcy.

Choosing the Right Help

If you're searching for the best urologist for urinary incontinence, you need someone with experience, advanced techniques, and a patient-first approach.

At Aashray Urology Institute, led by Dr. Ashit Shah, you'll find:

  • 35+ years of expertise in urology
  • Specialization in minimally invasive urology
  • A reputation for ethical and transparent care

Dr. Shah is a trusted urologist in Vadodara for urinary incontinence and has helped thousands of patients regain control after prostate surgery.

  • Get Back to Living Life Without Worries

    Explore proven treatments for urinary incontinence with Vadodara's leading urology expert. Contact Aashray Urology Institute and take charge of your recovery.

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Key Takeaways

  • Urinary incontinence after prostate surgery treatment is highly successful with the right steps.
  • Pelvic floor exercises and lifestyle changes are the first line of defence.
  • Advanced solutions exist for persistent cases; don't hesitate to seek help.
  • The sooner you address the problem, the better the results.

Your journey doesn't end with surgery; it continues toward complete recovery. And with expert care, you can confidently get back to living life without worries.

Dr. Ashit Shah
Dr. Ashit Shah

About the author

Dr. Ashit Shah is a senior consultant Urologist heading Aashray Urology Institute. After completing his M.B.B.S. and M.S. in General Surgery, he was awarded Diplomate of National Board (D.N.B.) in Genito-Urinary Surgery by the National Board of Examinations, New Delhi. He earned his Diplomate in Laparoscopic Urology from Louis Pasteur University, Strasbourg, France in the year 2006. Dr. Shah has a special interest in Endo-Urology, especially Urolithiasis i.e. Urinary Stone Disease. Having spent more than 35 years in the profession of Urology, he has experience of over 85,000 urological consultations and more than 16,000 surgeries. Being counted amongst the torch bearers of ethical and transparent medical practice in the city of Vadodara, he was conferred 'Inspiring Urologist Award' for the year 2019 by The Economic Times.

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