The duration of incontinence after prostate cancer surgery varies widely among individuals and depends on several factors, such as age, overall health, and the type of surgery performed. Most men experience some degree of urinary incontinence immediately following the removal of their prostate (radical prostatectomy), but the majority regain control over time.

For many men, continence improves significantly within the first few weeks after surgery. By three months, many men no longer experience significant leakage and can manage without pads or with minimal protection. Younger men – ages 40 to 60 – in good health generally see better and faster recovery outcomes than older individuals​.

For others, especially those who had more extensive surgery or have additional health issues, it might take closer to a year to regain complete urinary control. In some cases, patients might still experience mild leakage after one year, but this is less common. Stress incontinence, which occurs during activities that pressure the bladder, such as coughing or lifting, is common post-surgery.

To aid recovery, patients are often advised to perform pelvic floor exercises (AKA Kegels), which work and strengthen the muscles controlling urination. These exercises are typically recommended to start before or soon after surgery and can significantly improve urinary control over time.

If incontinence persists beyond a year or is severe, additional treatments might be necessary. These can include may surgical options such as urethral slings or artificial urinary sphincters​.

In summary, while the duration of incontinence after prostate cancer surgery can vary, most men see substantial improvement within three to six months, with the majority regaining full control within a year. Effective treatments are available for those with lingering issues to help manage and improve their condition.

Seeking the advice of a physiotherapist prior to or soon after surgery is highly desirable. Assessment of the pelvic floor muscles and instruction of a tailored pelvic floor exercises using non-invasive real time ultrasound examination can significantly reduce the time a man suffers from post prostatectomy incontinence.

FOR MORE INFORMATION AND TO BOOK AN APPOINTMENT JUMP TO HERE: MEN’S HEALTH PHYSIO