Managing Incontinence After Prostate Cancer Treatment
Aug 07, 2025
Urinary incontinence is one of the most common and frustrating side effects men experience after prostate cancer treatment, particularly surgery or radiation. While it can feel isolating, you're not alone—and the good news is that incontinence is often temporary and treatable.
Dr. David B. Samadi, a world-renowned urologic oncologist in New York City, has helped thousands of men recover urinary control after treatment. In this article, he explains why incontinence happens, how long it lasts, and the best ways to manage it.
The prostate sits below the bladder and surrounds the urethra. When the prostate is removed or damaged—either by surgery or radiation therapy—the muscles and nerves that control urination can be affected.
The result? Leaks when you cough, sneeze, or move—also known as stress incontinence—or a sudden, intense urge to go, called urge incontinence.
For most men, urinary control gradually returns within a few weeks to months after surgery. Some regain full control in just a few weeks, while others may take longer depending on age, health, and the type of treatment received.
With Dr. Samadi’s nerve-sparing SMART technique, many patients see a faster return to continence compared to traditional surgery.
These strengthen the muscles that control urination. Dr. Samadi typically recommends beginning Kegels before surgery and continuing during recovery.
Avoid caffeine, alcohol, and spicy foods, which can worsen urgency and leakage.
Walking is encouraged, but avoid heavy lifting and straining, which can increase pressure on the bladder.
These can provide peace of mind as your body heals.
Keep a journal of symptoms to share with your doctor—this can help guide treatment if issues persist.
If you’re still experiencing significant incontinence 6–12 months after treatment, it’s time to explore advanced options.
Dr. Samadi will evaluate the type and cause of your incontinence to recommend a solution that aligns with your lifestyle and goals.
It’s important to acknowledge the emotional impact of urinary incontinence. Many men feel embarrassed or frustrated—but you should never feel ashamed to ask for help.
Dr. Samadi and his team are committed to supporting your physical and emotional recovery, ensuring you regain confidence as well as continence.
Urinary incontinence after prostate cancer treatment is common, but it's rarely permanent. With expert care, most men recover bladder control and return to the activities they love.
If you’re struggling with incontinence after prostate cancer treatment, Dr. David Samadi can help. From advanced surgical techniques to targeted recovery plans, you’ll receive expert support every step of the way.
Schedule a consultation today
Call: 212-365-5000