There are two main types of urinary incontinence in men
after radical protatectomy:
- Urgency incontinence
- Stress urinary incontinence
Urgency incontinence is when you feel the "urge" to urinate but cannot make it to the toilet
in time. This is generally due to bladder spasms and often responds to medical therapy.
This type of incontinence is thought to be mostly due to changes in the way the bladder
behaves after surgery.
Stress urinary incontinence (SUI), is leakage of urine with exertion or effort and can happen
when you cough, sneeze, lift something heavy, change position, swing a golf club or exercise.
This type of incontinence may be because of damage to your external sphincter muscle as
described above. Almost all men will have some degree of SUI immediately after catheter
removal, and you were probably given instructions on how to perform pelvic floor exercises
to improve urinary control.