FAQs Male Incontinence

Below are a list of common male incontinence FAQs. If you have a question that is not covered below then please contact our team on 020 7432 8297 or email [email protected].

What Is Incontinence?

Incontinence is the inability to control the passage of urine. A symptom rather than a disease, incontinence can range in severity from an occasional, small amount of urine passing to constant leaking to the complete inability to hold any urine. Some men experience incontinence after prostate surgery or urine leakage during physical activity.

What Are Urge Incontinence & Stress Incontinence?

Urge incontinence, a major symptom of overactive bladder, occurs when you have a sudden, urgent need to urinate and leakage occurs before you reach a bathroom. Stress incontinence is due to weakened pelvic floor muscles or damage to the urethral sphincter. Stress incontinence is when leakage occurs due to stress such as a cough, sneeze, laugh, or physical activity. Ninety percent of those who have this symptom are women.

What Causes Male Incontinence?

Each type of male incontinence has its own causal factors. Stress incontinence can be caused by a variety of factors: prostate surgery damaging the sphincter muscle, being overweight, genetic weaknesses, radiation therapy or other chronic conditions.

Urge incontinence (overactive bladder) is caused by damage to the bladder’s nerves, nervous system or muscles. Overflow incontinence is caused by weak bladder muscles, blockage of the urethra, or medical conditions such as tumours. Functional incontinence is caused by mental confusion associated with dementia or arthritis that slows the person’s ability to unbutton or unzip clothing or to get to the bathroom in a timely manner.

Is There Help For Male Stress Incontinence Associated With Prostate Surgery?

In general, stress incontinence is an acquired form of incontinence after prostate surgery, most commonly prostate removal for cancer. Most men do not have trouble with incontinence for more than a few weeks or months after prostate surgery.

Sometimes the leakage is a result of irritation from the catheter that was in place after surgery. Sometimes it is due to weakness or damage to the sphincter muscle that normally holds in the urine. Most men find that the leakage disappears in four to six months. However, the amount of incontinence after prostate surgery is fairly unpredictable and can vary from person to person.

You can arrange an appointment with a Consultant to discuss your particular symptoms after having prostate surgery. Typically, the Consultant may suggest an exercise regimen to strengthen the muscles in your pelvic area and may also prescribe medication. If neither of these is successful, they may advise various procedures such as male slings or an artificial urinary sphincter. The treatment chosen will depend on your personal situation.

How Does Incontinence Impact Quality Of Life?

If you are struggling with urinary incontinence, you may experience changes in your behaviour, emotions, social relationships, effectiveness in your job, and mental well-being. You may decide to reduce your fluid intake, wear incontinence pants or absorbable pads, switch from high to low impact exercise, or forgo active work or lifting moderate weight.

Emotionally you may feel that you’re no longer yourself, that you’re losing control and that you can no longer do the things you love to do. This can also impact your social activities if you are self conscious or embarrassed. You may feel frustrated with your uncooperative bodily functions and view your treatment options as being limited, particularly if you don’t want surgery. Some people report feeling ashamed and suffer from lowered self esteem due to being incontinent.

It is important that you seek care from a Consultant Urologist who may be able to provide treatment that will help with your condition and should improve your quality of life.

What Can I Expect At My Initial Consultation At London Urology?

About 80% of those impacted by urinary incontinence can be cured or improved. Your Consultant will ask for your medical history and will perform an examination. Your may be asked questions such as:

  • How long has the leakage been happening?
  • How often does it happen each day?
  • Are you aware of the need to urinate beforehand?
  • How much urine is leaking?
  • Do you wear protective pads or garments? What kind and how often?
  • How much does it impact your daily routine and your life?
  • Is it more difficult to control when you cough, sneeze, strain or laugh?
  • Is it more difficult to control when you are walking, running, or jumping?
  • Are you constipated? And for how long?
  • What medications do you take?
  • Do you smoke, drink coffee or alcohol?
  • Do you have diabetes or is there a family history of it?
  • Do you have any other symptoms?

Diagnostic Tests May Also Be Performed:

  • Urinalysis
  • Urine culture to check for an infection
  • Cystoscopy to inspect the inside of the bladder
  • Urodynamic studies to measure pressure and urine flow
  • Uroflow to measure pattern of urine flow
  • Post void residual to measure the amount of urine after urination

What Can I Do To Better Manage My Incontinence?

  • Increase fiber in your diet to avoid being constipated
  • Quit smoking to reduce coughing and bladder irritation
  • Avoid alcohol and caffeinated beverages which overstimulate your bladder
  • Avoid any foods or beverages that irritate your bladder
  • Closely monitor your blood sugar if you have diabetes
  • Lose weight if needed

You can strengthen the muscles of your pelvic floor through bladder retraining or exercises. You can retrain your bladder by urinating on a schedule, whether you feel the need to go or not. You gradually increase your intervals by 30 minutes until you are only urinating every 3-4 hours without leakage. Exercises require that you contract your pelvic muscles for 10 seconds at a time and then relax them for 10 seconds. You will do this 10 times in one session and repeat each session three times per day.

Book Appointment

If you have a further question about incontinence or would like to book an initial consultation you can contact our urology team on 020 7432 8297 or email [email protected].

A patient speaking to a receptionist

Patient information

Our Hospital is renowned for providing exemplary levels of care across more than 90 services. From orthopaedics, to urology, our private GP practice and Urgent Care Clinic, our services are led by some of London’s leading Consultants. For more information, and to find a service suitable for your care, find out more about the services that we offer.

Make an enquiry

If you have any questions relating to treatment options or pricing information, get in touch with us by filling out one of our contact boxes or giving us a call on 020 7432 8297.

Our Appointments Team have a dedicated and caring approach to finding you the earliest appointment possible with the best specialist.

If you are self-paying you don’t need a referral from your GP for a consultation. You can simply refer yourself* and book an appointment.

If you have health insurance (e.g. Bupa, Axa Health, Aviva), you will need to contact your insurer to get authorisation before any treatment, and in most cases you will also require a referral letter from your GP.

If you are not registered with a GP, we have an in-house private GP practice you can use. Alternatively, we can suggest the most appropriate course of action for you to take, given your location and individual circumstances.

*Please note – for investigations such as X-rays and MRIs, a referral will be required. However, we may be able to arrange this for you through our on-site private GP.

    Make an enquiry

    Latest articles

    The latest news, insights and views from St John and Elizabeth Hospital.

    Find out what we’re doing to keep you safe, read expert articles and interviews with our leading specialist Consultants, learn more about common conditions and get your questions answered.

    09th November 2023

    KFM and St John & St Elizabeth Hospital enter into partnership to deliver an end-to-end procurement and supply chain service

    On Wednesday 1 November 2023, KFM entered into a contract with St John…

    01st November 2023

    Men’s Health Awareness Month With Dr Adam Wander, Private GP

    November is Men’s Health Awareness Month, widely known as Movember. This is a…

    19th October 2023

    Kidney Stones – Prevention & Treatment with Mr Leye Ajayi

    Mr Leye Ajayi is a Consultant Urological Surgeon with a specialist interest in…

    03rd October 2023

    Preventing Rugby Injuries with Lead Outpatient Physiotherapist – Kolade Awobowale

    We are extremely proud that our Lead Outpatient Physiotherapist, Kolade Awobowale, flew out…

    Mr Akash Patel

    26th September 2023

    Top Tips for New Runners – with Mr Akash Patel

    Mr Akash Patel, Consultant Trauma and Orthopaedic Surgeon specialises in hip and knee…

    26th May 2023

    What to expect at our Stroke Clinic – with Dr Sageet Amlani

    It’s a tough reality that many of those who have had a stroke,…

    12th April 2023

    What does a Bowel Consultant do? Mr Asif Haq answers

    Mr Asif Haq is a highly experienced Colorectal Consultant and General Minimal Access…

    16th January 2023

    Skiing Q&A with an orthopaedic surgeon

    Mr Parag Jaiswal is a lower limb orthopaedic surgeon who specialises in complex…

    11th January 2023

    Shred it this ski season

    If you’re planning a holiday in the mountains this ski season, preparing your…

    10th January 2023

    Ski season and ACL injuries

    An interview with Mr Ghias Bhattee – Lower Limb Orthopaedic Surgeon on what…

    06th January 2023

    Getting treatment after a skiing injury

    Mr Satya Naique is a Lower limb Orthopaedic and Trauma Surgeon, who has…

    14th November 2022

    An insight into HoLEP – minimally invasive prostate surgery

    Mr Andrew Ballaro is a Consultant Urological Surgeon who practices at our hospital….