Post-Prostatectomy Incontinence: A Complete Guide for Recovery and Confidence
What Is Post-Prostatectomy Incontinence?
Prostatectomy—surgery to remove the prostate—can sometimes interrupt the muscles and nerves that control your bladder. That’s why leaks after surgery are common. In fact, in the UK, up to 60% of men experience urinary incontinence in the first few months after their operation [1].
That said, it’s not forever. Most men see things improve over time—especially with the right tools and support.
This isn’t just your story—it’s something thousands of men across the UK are navigating too. It might feel frustrating or isolating, but you’re not on your own. And there’s plenty you can do to feel more in control.
Why Incontinence Happens After Prostate Surgery
During surgery, the muscles and nerves that help control your bladder can take a bit of a hit. How much leaking happens afterward—and how long it sticks around—often depends on the type of procedure performed. A nerve-sparing prostatectomy, where nearby nerves are preserved, often supports faster recovery. If nerves are removed, recovery may take more time—but improvement is still possible.
As a result, men may experience:
- Stress incontinence – leakage during physical activity, coughing, or sneezing
- Urge incontinence – sudden, overwhelming need to urinate
- Overflow incontinence – constant dribbling due to incomplete bladder emptying
Recovery varies, but many men see significant improvement within 3 to 12 months.
Managing Post-Prostatectomy Leaks: Practical Strategies
Regaining control is about small, consistent steps. Post-prostatectomy incontinence can feel overwhelming at first, but many men experience improvement with the right approach. These strategies combine lifestyle adjustments, physical rehabilitation, and supportive products—forming a practical foundation for managing leaks and building confidence.
1. Pelvic Floor Exercises
Start with daily pelvic floor exercises (often called Kegels). These help rebuild muscle strength around the urethra, which plays a key role in controlling urine flow.
- Focus on squeezing the muscles you’d use to stop urination midstream.
- Hold each squeeze for 5–10 seconds, then relax.
- Aim for 3 sets of 10 reps each day.
Need help getting started? Check out our top Pelvic Floor Exercises for Men here.
Prefer an app? Try Squeezy for Men—developed by the NHS and available on UK app stores.
Stick with it. These exercises take time, but the results are real.
2. Bladder Training
Gradually increase the time between bathroom visits to train your bladder to hold more urine. This helps reduce urgency and improves the consistency of voiding.
- Start with a bathroom schedule (e.g., every hour), then increase intervals by 15–30 minutes.
- Use distraction techniques or breathing exercises to delay urination.
- Record successes and setbacks in a bladder diary.
This method supports long-term improvement in managing post-prostatectomy leaks and is especially useful for those dealing with urge incontinence.
3. Dietary Awareness
Your diet plays a major role in bladder function. Some foods and drinks act as bladder irritants, making incontinence symptoms worse.
- Limit caffeine (coffee, tea, soft drinks), alcohol, spicy foods, and artificial sweeteners.
- Eat fibre-rich foods to prevent constipation, which can put pressure on the bladder.
- Drink enough fluids to stay hydrated, but avoid drinking large amounts at once.
- Consider bladder-friendly choices like oats, bananas, apples, and water-rich vegetables.
Improving your diet helps reduce the frequency of leaks and supports overall urinary tract health.
Want personal support? Find a registered dietitian at the British Dietetic Association. 
4. Incontinence Products
Leaks happen—especially in the early stages of recovery. That’s why a reliable, discreet guard makes all the difference.
Use absorbent products made for men after surgery. Not sure what to choose? Here’s a quick guide:
- Light – For the occasional leak, especially during movement or sneezing
- Moderate – For day-to-day support as your body rebuilds strength
- Maximum – For heavier or overnight leaks, especially early in recovery
Invizi Male Guards are designed to stay put, stay comfortable, and keep you feeling dry.
Look for:
- Shaping made for male anatomy
- Strong adhesive so it stays secure
- Soft, breathable materials for your skin
- Odour control for extra confidence
They’re discreet under clothes and available in absorbencies to match your needs—whether you're easing back into work or just want peace of mind on a dog walk.
5. Track Your Progress
Recovery doesn’t happen overnight. But when you track your symptoms, you’ll spot patterns—and progress—sooner.
What to include:
- When leaks happen and how much
- What triggered it (e.g. coughing, standing up)
- What you ate or drank
- How long between toilet visits
- Which products you used and how they performed
Bring this log to appointments—it helps your GP or physio personalise your care.
Choosing the Best Pads for Post-Prostatectomy Incontinence
Not all incontinence products are created equal—especially for post-surgical needs. Here’s what to look for:
- Targeted fit for male anatomy
- High absorbency for daily and overnight use
- Odour control
- Secure adhesive or shaping to prevent shifting
- Discreet design under clothes
Invizi Male Guards tick every box—and they’re trusted by men across the UK.
How to Buy Male Guards After Prostate Surgery in the UK
Getting the right product is easy:
- Choose your absorbency – Light, Moderate, or Maximum
- Order online at confidenceclub.co.uk – fast, discreet delivery UK-wide
- Subscribe and save – never run out with our flexible delivery plans
- Wear with ease – just peel, position, and go
-
Support if you need it – our customer care team is here to help
You're Not Alone – Mental & Emotional Support
Leaks don’t just affect your body—they can mess with your confidence, relationships, even your sleep. And yes, that’s normal.
If you’re feeling low, anxious, or just not quite yourself, there’s help:
- Prostate Cancer UK – 0800 074 8383
- NHS Talking Therapies
- Mind (Mental Health Support) – mind.org.uk
Talking to someone can help you feel more like… you.
Confidence, Comfort, and Recovery — Made Simple
Male incontinence after surgery is nothing to be ashamed of. With the right strategies, support, and products, it’s possible to live well and feel in control again.
Whether you're just starting recovery or looking for a more effective solution, ConfidenceClub is here with products that work and people who care.
When to See a Specialist
If your symptoms haven’t improved after a few months—or they’re getting worse—it’s worth checking in.
You can speak with:
- A urologist – for medical follow-up after surgery
- A pelvic health physiotherapist – for tailored exercises
- A continence nurse – for everyday advice and support
Your GP can refer you, or you can search via Bladder & Bowel UK.
Free Help: NHS Continence Services
You don’t have to manage this alone. Most NHS trusts offer continence clinics—and many have specialist nurses available.
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Bladder & Bowel UK helpline: 0161 214 4591
They’ll help you find local, free support.
Frequently Asked Questions (FAQs)
Q: Is post-surgery incontinence permanent?
Not usually. Most men improve significantly within 3 to 12 months—especially with pelvic floor training and a bit of patience.
Q: Can I go back to work or the gym?
Yes. Many men return to normal routines with the support of male guards and a little preparation.
Q: Will this affect sex and intimacy?
It can, especially early on—but it doesn’t have to. Communication, the right support, and a bit of patience can go a long way.
Q: Can I travel if I’m still leaking?
Definitely. Bring spare pads, a change of underwear, and disposal bags. That’s it. Sorted.
Q: What if I leak even after I’ve gone to the toilet?
That’s called post-micturition dribble. Try double voiding (go, wait 30 seconds, go again) and pelvic floor training.
Q: I feel embarrassed talking about it. What do I do?
You’re not alone—and you don’t have to stay silent. Talk to your GP or call the Prostate Cancer UK helpline. They get it.
Q: How long should I give pelvic floor exercises before expecting results?
Give it at least 8 to 12 weeks of consistent daily practice. Some men notice changes sooner, others take longer. Don’t give up too soon.
Q: Is leaking normal even months after surgery?
Yes, for many men it is. Leaks at 3–6 months are common. If you’re still leaking at 12 months, it’s worth speaking to a specialist for more targeted help.
Q: What products should I use at night?
Look for maximum-absorbency guards designed for overnight wear. You might also want to use a mattress protector or bed pad just in case.
Q: Will drinking less stop the leaks?
No—and in fact, it can make things worse. Dehydration concentrates your urine, which can irritate the bladder. Keep drinking steadily throughout the day, just avoid large amounts at once or late at night.
Q: What if nothing I try seems to help?
That’s when it’s time to bring in extra support. A pelvic health physio or continence nurse can help assess what’s going on and suggest other options—including medication, devices, or in some cases, surgery.
Q: Is this linked to erectile dysfunction too?
Yes, it can be. The same nerves control both bladder and sexual function. Talk to your doctor—there are options that can help with both.
💬 Questions? Need personalised help? Contact our friendly team here.
Medical Disclaimer: This guide is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your doctor or healthcare provider for guidance specific to your health condition.