SUMMARY
This article outlines evidence-based strategies for reducing and eventually stopping urinary leakage after prostate surgery, with an emphasis on strengthening control, lifestyle adjustments, and medical options if needed.
KEY POINTS
- Pelvic floor (Kegel) exercises, ideally guided by a pelvic floor physiotherapist using real-time feedback, are foundational for restoring bladder control.
- Supportive measures, such as maintaining a healthy weight, moderating fluid irritants (caffeine, alcohol), using absorbent continence products initially, and considering medications or surgical interventions for persistent leakage, help manage symptoms and optimise long-term recovery.
Urine leakage after prostate surgery is a common concern. For men in Adelaide and beyond, some techniques and strategies can significantly reduce and manage this issue.
Urinary leakage, or incontinence, is a common side effect following prostate surgery, particularly prostatectomy (prostate removal). The good news is that this condition usually improves over time with proper management and care. Here’s how to address and minimise urine leakage:
1. Practice Pelvic Floor Exercises
Pelvic floor muscle exercises, commonly called Kegels, are highly effective in improving bladder control:
- How They Work: These exercises strengthen the muscles that control urination.
- Getting Started: Your physiotherapist can guide you in identifying and targeting these muscles. Seek the expertise of a pelvic floor physiotherapist that uses real time ultrasound to assess and coach the skill of a specific pelvic floor exercise program tailored to your needs.
2. Stay Active and Maintain a Healthy Weight
Excess weight can put pressure on the bladder, worsening leakage. During recovery, engage in light activities, like walking, to improve overall health and promote bladder function.
3. Monitor Fluid Intake
While staying hydrated is essential, avoid excessive caffeine, alcohol, or fizzy drinks, as these can irritate the bladder and exacerbate leakage. Concentrated urine can also irritate the bladder. Aim for 1.5 to 2L of water or fluid over a 24hr period.
4. Use Continence Products
In the short term, absorbent pads or briefs can help manage leakage discreetly. These products are widely available and designed for comfort and confidence during recovery.
5. Consider Medical Interventions
If leakage persists after several months, consult a doctor for advanced options:
- Medications: These can help reduce urgency and frequency.
- Surgical Options: Procedures like sling surgeries or artificial urinary sphincters may be recommended for severe cases that are not progressing or do not settle over time.
6. Practice Patience
Most men see significant improvement within 6–12 months. Be consistent with exercises and follow your health professional’s advice to ensure steady progress.
Final Thought
Urinary leakage after prostate surgery is anticipated, manageable and often temporary. With persistence and the right strategies, you can regain control and improve your quality of life. For personalised guidance, always consult a pelvic floor physiotherapist or experienced health professional.
While leakage after prostate surgery can be distressing, many men do recover continence over time. With patience, consistent effort, and access to local care, whether you’re in Adelaide or elsewhere, most see significant improvements.
Want to get in touch?
If you live in Adelaide and would like to book a consultation or discuss your leakage management in person, please don’t hesitate to get in touch.
FOR MORE INFORMATION AND TO BOOK AN APPOINTMENT JUMP TO HERE: MEN’S HEALTH PHYSIO
