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Treatment for Post Prostatectomy Incontinence

Before your operation you will meet with the specialist nurse to talk about possible incontinence problems and how they will be dealt with if they occur. The nurse will go through Pelvic Floor Exercises with you so that you can start them before the operation. These exercises will strengthen the muscles in the pelvis which help to hold in urine. You should keep doing these exercises after the operation and continue forever to minimise the chances of problems with Post Prostatectomy Incontinence.
 
The nurse will also talk to you about continence pads, and most men use these immediately after the operation to control any accidents with urine leakage. If Post Prostatectomy Incontinence continues, then pads are a useful way of controlling the problem, and for many men, pads can control the problem adequately so that further treatment is not needed.
An alternative to using pads is a convene sheath. This is a bit like a condom, and sits over the penis to catch any urine that leaks out. A small plastic tube from the end of the sheath connects to a bag which is worn discretely on the upper leg.
 
Some people try using tablets for Post Prostatectomy Incontinence. The main one used is called Duloxetine. It can be useful for some people, but is often not effective for men with Post Prostatectomy Incontinence. One in three people will experience nausea while taking this medication.

 

Operations for Post Prostatectomy Incontinence

If conservative treatments fail, then your surgeon will discuss operations to help with Post Prostatectomy Incontinence. There are two main procedures which are used:

More details can be found on the Treatments pages, but the main points are summarised below.

                                                                                                                                              
                                                                                 AUS                   Sling
Simple procedure                                                       No                      Yes
Suitable for mild / moderate incontinence                  Yes                     Yes
Suitable for severe incontinence                                Yes                      No
Possible mechanical failure                                         Yes                      No
Good long-term results                                               Yes                      Not yet known
Possible problems with infection of the device            Yes                      No