Prostate surgery is often necessary for treating prostate cancer or other prostate conditions, but for many men, it comes with an unexpected challenge—post-prostatectomy incontinence (PPI). This condition affects up to 95% of men following prostate removal, causing bladder leakage and impacting daily life.
The good news? Most men regain full bladder control within 3 to 12 months after surgery. However, for some, incontinence persists beyond a year, requiring further intervention. Understanding why PPI occurs, how to manage it, and what treatments are available is key to regaining confidence and quality of life.
What Causes Post-Prostatectomy Incontinence?
The prostate plays an essential role in urinary control, acting as a structural and functional component of the continence mechanism. When the prostate is surgically removed, several changes occur that can lead to incontinence, including:
• A shortened urethra, reducing its ability to maintain closure
• Decreased urethral pressure, making it harder to control urine flow
• Disruption of nerves and muscles responsible for bladder control
• Changes in bladder capacity and function
While incontinence is common after prostate surgery, certain factors can make symptoms more severe or prolonged. These include:
• Obesity (BMI >30)
• Pre-existing bladder conditions
• Previous radiation or pelvic surgeries
• Lack of physical activity
• Surgical complications
• Increasing age
By addressing these risk factors before and after surgery, men can significantly improve their chances of a faster and smoother recovery.
Recognizing the Symptoms of PPI
The type and severity of urinary leakage can vary, but common symptoms include:
• Stress incontinence – Leaking urine during activities like coughing, sneezing, lifting, or straining
• Urge incontinence – A sudden, intense urge to urinate that may lead to leakage
• Post-micturition dribble – Leakage that occurs after urination
• Increased urinary frequency – Needing to urinate more often, both day and night
These symptoms can affect daily activities, confidence, and even mental well-being. However, with the right treatment and rehabilitation plan, men can regain control over their bladder.
Treatment for Post-Prostatectomy Incontinence
At Eastern Osteopathy - The Pelvic Place Melbourne, we take a holistic, osteopathic approach to PPI treatment, focusing on restoring function and addressing the body as a whole. Our osteo-led pelvic health treatment plans are tailored to each individual and may include:
1. Pelvic Floor Muscle Training
The pelvic floor muscles play a crucial role in bladder control. Strengthening these muscles through individualized pelvic floor exercises can significantly reduce incontinence and improve continence function.
2. Small Group Exercise Rehabilitation
A structured exercise program focused on core stability and pelvic floor coordination can help retrain muscles and improve function. These programs are designed to be safe and effective for men recovering from prostate surgery.
3. Lifestyle & Activity Guidance
Returning to physical activity is essential, but doing so safely is key. We provide individualized advice on gradual exercise progression, movement strategies, and bladder retraining techniques to support long-term recovery.
The Osteopathic and Wholistic Approach
At Eastern Osteopathy - The Pelvic Place Melbourne, we believe true recovery goes beyond just treating symptoms. Our osteopathic and holistic approach ensures that posture, breathing patterns, muscle balance, and nervous system function are all addressed as part of bladder rehabilitation.
A key focus of our treatment is reducing extra load on the bladder and pelvic floor, which can significantly improve continence. This includes:
✔ Optimizing posture and alignment to reduce pressure on the bladder
✔ Improving breathing mechanics to minimize unnecessary pelvic floor tension
✔ Addressing core and hip stability to support pelvic function
✔ Reducing strain on the pelvic floor by promoting efficient movement patterns
By assessing the whole body, we aim to:
✔ Improve core and pelvic floor strength
✔ Enhance nervous system communication
✔ Optimize bladder function
✔ Reduce overall tension and dysfunction
This comprehensive approach leads to better long-term outcomes and helps men regain confidence, control, and quality of life after prostate surgery.
Put Post-Prostatectomy Incontinence Behind You
We understand that dealing with incontinence after prostate surgery can be frustrating and emotionally challenging. But you don’t have to navigate this journey alone.
At Eastern Osteopathy - The Pelvic Place Melbourne, we are committed to providing expert care, evidence-based treatments, and compassionate support to help you regain bladder control and restore confidence.
If you or a loved one is experiencing post-prostatectomy incontinence, reach out to our team today. Book an appointment online or contact us to learn how we can support your recovery.
Let’s work together to put post-prostatectomy incontinence behind you—so you can move forward with confidence.