Incontinence

Male Incontinence After Prostate Surgery

 

Stress Incontinence can occur in men following prostate surgery.

Treatment options include;

  • Diet - A good diet preventing constipation can help.
  • Pelvic Floor Exercises - These exercises can significantly improve and even cure many patients. There are a number of continence nurses and physiotherapists that can help with a pelvic floor exercise programme as well as dietary and behavioural advice.
  • Injectables or Bulking Agents - This refers to a minimally invasive treatment for stress incontinence. It takes about 10 minutes to perform and can be done under either local or general anaesthetic. Agents used include Durasphere (carbon), Bulkamid (polymer) and Macroplastique (silicone). The substance is injected into the wall of the urethra to narrow the lumen.
  • The Artificial Urinary Sphincter would still be considered the gold standard surgical treatment option for men with severe incontinence.
  • Synthetic Male Slings and other synthetic devices are also available for men with stress incontinence. These are fairly new treatments and include the Advance sling. To find out more about the Advance sling you can read an article by Dr Pillay. (Download pdf)

There are a number of different Treatments Options for Urge Incontinence in men after prostate surgery.

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