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.

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