Prostate Surgery and Incontinence: What to Expect and How to Manage It

Prostate surgery is a common treatment for conditions like prostate cancer and benign prostatic hyperplasia (BPH). While these procedures can be life-saving, one of the most common side effects is urinary incontinence. Many men experience temporary or, in some cases, long-term bladder control issues after surgery. Understanding why incontinence happens and how to manage it effectively can help improve recovery and overall quality of life.

Understanding the Link Between Prostate Surgery and Incontinence

The prostate gland sits just below the bladder and surrounds the urethra, which carries urine out of the body. During prostate surgery—whether a prostatectomy (removal of the prostate) or a transurethral resection of the prostate (TURP)—the muscles and nerves controlling the bladder can be affected. This can result in:

• Stress incontinence – Leaking urine when coughing, sneezing, or lifting.
  
• Urge incontinence – A sudden, strong need to urinate with little warning.
• Mixed incontinence – A combination of stress and urge incontinence.
• Most men regain bladder control over time, but it can take weeks or even months.

What to Expect After Prostate Surgery

Immediately following surgery, a catheter is typically inserted to drain urine while the body heals. Once the catheter is removed, it’s common to experience some leakage. The severity of incontinence depends on factors like age, overall health, and the type of procedure performed.

Short-term incontinence – Many men experience leakage for a few weeks or months as the pelvic muscles recover.

Long-term incontinence – In some cases, bladder control issues persist for a year or longer, requiring ongoing management strategies.

Managing Urinary Incontinence After Prostate Surgery

Although post-surgery incontinence can be frustrating, there are effective ways to regain control and improve comfort.

Strengthening Pelvic Floor Muscles

Kegel exercises can help rebuild strength in the muscles that control urination. These exercises involve contracting and relaxing the pelvic muscles, similar to stopping urine midstream. Performing Kegels daily can speed up recovery.

Using High-Quality Incontinence Products

Absorbent products like SPC incontinence briefs, pads, and reusable underwear provide discreet protection against leaks. SPC quilted underpads (30x36) offer overnight comfort, while SPC bladder control pads are ideal for daytime use. Choosing medical-grade, high-absorbency options can prevent discomfort and skin irritation.

Bladder Training Techniques

Regaining bladder control can involve training your body to urinate at set intervals rather than waiting for the urge. This method gradually strengthens the bladder and reduces sudden leaks.

Lifestyle Adjustments for Better Bladder Control

• Limit caffeine and alcohol, as they can irritate the bladder.
• Stay hydrated, but avoid excessive drinking before bedtime.
• Maintain a healthy weight, as excess weight puts pressure on the bladder.
  
  

Considering Medical Treatments

If incontinence persists, a urologist may recommend additional treatments, such as:

• Medications to relax the bladder muscles or improve sphincter control.
• Surgical options like a urethral sling or artificial urinary sphincter for severe cases.

When to Seek Medical Help

While some incontinence is expected after prostate surgery, prolonged or severe leakage may require medical intervention. If symptoms interfere with daily life, a specialist can provide personalized treatment options.

Regaining Confidence and Comfort

Recovering from prostate surgery takes time, and incontinence is a common part of the healing process. With the right strategies—pelvic exercises, incontinence products, and lifestyle adjustments—many men regain control and return to their normal routines.

At San Pablo Commercial, we're a family-run business dedicated to supporting seniors and caregivers by offering dependable, affordable incontinence supplies. From SPC disposable underpads to reusable underwear and sanitary pads, our range of incontinence products are designed for comfort and confidence. We understand the challenges of managing incontinence and strive to make it easier for you to stay clean, dry, and independent every day!