Male Incontinence

Urinary incontinence in men (male incontinence) is the inability to control the bladder and stop the flow of urine. Although it affects more women, it is a common condition in men and, depending on the cause, can be temporary or permanent.

Male incontinence symptoms

From stress incontinence (when men leak a little when laughing or sneezing) to more serious forms of incontinence where complete loss of bladder control is experienced, London Urology specialises in the treatment of male incontinence.

Some men will experience frequent urges to go pass urine, which is urge incontinence, sometimes known as an overactive bladder.

Causes of male incontinence

Sometimes treatment for prostate cancer can cause urinary incontinence. Surgery and radiotherapy can damage the muscles of the valve of the sphincter, which controls urine flow.

Post-prostatectomy incontinence

Whilst the results of benign and radical prostatectomy procedures are generally excellent, both cut tissue immediately above the sphincter mechanism, and in some patients, the sphincter is injured. Stress incontinence following benign prostatectomy occurs in 1-2%. Following radical surgery mild leakage occurs in 20-40% and more significant incontinence in 10%. Post prostatectomy incontinence is not predictable, independent of technique, and neither surgeons nor patients should see this problem as a failure of ability

Enlarged prostate: An enlarged prostate, which obstructs the urethra, the tube which carries urine out of the body, is often responsible for an overactive bladder or urge incontinence, when men feel the bladder is never fully empty.

Male incontinence treatment

The male sling is less invasive than other forms of treatment but whilst proving successful, it is a new treatment and does not rule out other forms of treatments.

Made from polypropylene mesh, the male sling is similar to the transvaginal tape used to treat female incontinence and is very effective for patients with mild to moderate incontinence. To reposition the curved part of the male urethra and prevent leakage, the male sling is implanted under general anaesthetic and passed through the urethra with a small incision to the perineum.

Artificial urinary sphincter

Made from a special type of silicone, the artificial urinary sphincter is a device which replaces the function of the sphincter using three main parts: a cuff, a pump and a balloon, which are all connected by silicone tubing. It is an effective treatment for men with severe stress incontinence.

Implanted under general anaesthetic, the AUS cuff is inserted through an incision made in the perineum, between the scrotum and anus. A small incision is made in the groin, the balloon in the abdomen, and the pump in the scrotum.

The cuff is filled with fluid and keeps the urethra shut. When it is time to urinate, the scrotal pump is used. After a few minutes, the fluid returns from the balloon to the cuff, and the urethra tightly closes.

It is switched off for the first six weeks after surgery, after which your specialist will switch it on.

Find out more with our Male Incontinence FAQ.

Contact us

Mr Jeremy Ockrim is a specialist in treating both male and female incontinence. If you have a question or would like to book an initial consultation then you can contact our team by email [email protected] or call us on 020 7432 8297

ENT Consultants

Urology Clinic

Our private urology clinic in London uses the latest techniques to give you the best diagnosis, intervention and aftercare for any urology problem you may be suffering from, allowing you to get back to your normal life as soon as possible.  We provide our urology Consultants with the most modern diagnostic equipment, so they can quickly find out what’s wrong. They also have four operating theatres at their disposal to carry out procedures, which cuts waiting times.

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….