SUMMARY
This article explains the typical progression and timelines of urinary incontinence following prostatectomy, offering patients insight into what to expect and how recovery usually unfolds.
KEY POINTS
- Incontinence after prostate removal generally evolves through stages, from immediate post-surgery stress leakage, through gradual improvement over weeks and months, to stabilisation around 6–12 months.
- While most men regain significant bladder control within a year, persistent cases may require further interventions such as ongoing physiotherapy, medications, or surgical options (e.g. sling or artificial urinary sphincter).
Urinary incontinence is a common side effect of prostatectomy, especially in the weeks and months following surgery. For men in Adelaide, understanding the stages of incontinence can help you manage this temporary condition with confidence and patience.
Stage 1: Immediate Post-Surgery Incontinence
Most men experience stress incontinence in the first few weeks after surgery when coughing, sneezing, or standing up can cause leakage. This occurs because the pelvic floor muscles and urinary sphincter need time to recover.
Tips for This Stage:
- Use absorbent pads for protection.
- Begin light pelvic floor exercises (AKA Kegels) as advised by your pelvic floor physiotherapist.
Stage 2: Gradual Improvement (Weeks to Months)
As your pelvic floor strengthens and swelling decreases, urinary control starts to improve. Leakage becomes less frequent, and you may notice a transition from significant leakage to occasional dribbles.
What Helps:
- Consistent pelvic floor exercises.
- Staying hydrated while avoiding bladder irritants like caffeine and alcohol.
- Monitoring progress without becoming discouraged.
Stage 3: Stabilization (6–12 Months)
Most men regain significant bladder control within 6 – 12 months after surgery. At this stage, incontinence is typically minimal or resolved. However, some may experience mild leakage during strenuous activities.
Additional Interventions: If incontinence persists, discuss options with your doctor, such as medications, continued pelvic floor physiotherapy, or surgical procedures like a male sling or artificial urinary sphincter.
Stage 4: Long-Term Management (For Persistent Cases)
For a small percentage of men, incontinence may persist beyond a year. Advanced therapies or minimally invasive surgeries can provide relief in these cases.
Patience is Key
Recovery is a gradual process. With consistent effort and the right support, most men achieve full or near-full bladder control after prostatectomy. Always consult your pelvic floor physiotherapist or urologist for tailored advice and treatment options.
Whether you’re located in Adelaide or elsewhere in Australia, the progression through these stages gives you a roadmap toward recovery and continence.
Want to get in touch?
We regularly support men in Adelaide and the surrounding regions. If you’re in Adelaide, please feel free to get in touch for local guidance or an in-clinic assessment.
FOR MORE INFORMATION AND TO BOOK AN APPOINTMENT JUMP TO HERE: MEN’S HEALTH PHYSIO
