Post Prostatectomy Incontinence

What is Post-Prostatectomy Incontinence?

Incontinence is a condition involving the inability to retain or hold urine, resulting in loss of bladder control. Post-prostatectomy incontinence is incontinence experienced after prostate surgery and affects as many as 95% of men who undergo prostatectomy. 95% of men with post-prostatectomy incontinence will regain complete bladder control within 3-12 months post-surgery. However, in rare cases, symptoms of post-prostatectomy incontinence will persist past 12 months, and require additional medical management.

Causes and Risk Factors of Post-Prostatectomy Incontinence

The surgical removal of the prostate significantly disrupts the continence mechanism. This impact alters the length of the urethra, reduces urethral pressure, reduces the capacity of the bladder to store urine, and can impact the nerves and muscles that control bladder function. Due to the impact on the continence mechanism, the majority of men will experience some degree of post-prostatectomy incontinence. There are a number of risk factors that will increase the likelihood of the incontinence being severe or prolonged. These include;

• Obesity (BMI >30)
• Pre-existing bladder symptoms
• Previous radiation or surgeries in the pelvis
• Lack of physical activity
• Surgical complications
• Increasing age.

Attending pre-operative physiotherapy to address known pre-existing conditions is an efficient way to reduce the risk. Pre-operative physiotherapy and correct pelvic floor muscle exercises have been demonstrated to reduce the severity and length of time one will suffer with post-prostatectomy incontinence.

Symptoms of Post-Prostatectomy Incontinence

Urine leakage or poor bladder control that occurs immediately following a prostate surgery. This may include;

• Leakage when coughing/straining/lifting
• A sudden and strong urge to urinate
• Leakage after emptying the bladder (post-micturition dribble)
• Increased urinary frequency during the day and overnight

Post-Prostatectomy Incontinence Treatment

Physio-led treatment following a prostatectomy will include;

• Education surrounding the efficient use of the best containment products
• An individualised Pelvic floor muscle training program
• Emsella treatments are proven to strengthen the pelvic floor muscles
• Shockwave Therapy to decrease bladder overactivity
• Small group exercise rehabilitation to retrain functional use of the pelvic floor and deep core muscles
• Advice regarding a planned, assisted return to physical activity.

Put Post-Prostatectomy Incontinence Behind You with Sydney Pelvic Clinic

Facing incontinence after an already invasive surgery can be incredibly distressing, and requires a gentle, measured approach that takes your specific needs into account, at every stage of recovery. Let us help you put Post-Prostatectomy Incontinence behind you. Contact our team or book an appointment online with our professional physiotherapists today