Urinary incontinence is the loss of bladder control. It can be embarrassing, and affect your daily activities. In men, urgency incontinence is most common type and is the inability to hold your urine when you have a desire to urinate. Stress incontinence, in contrast, is less common in men and is the loss of urine with coughing or sneezing. This is often due to a prior prostate surgery.
Treatments for urinary incontinence depend upon the type of incontinence. If urgency is the predominate type, behavioral training such as double voiding, scheduled voiding, fluid management, and delayed urination may be used. If these are ineffective, medications may be tried. Other therapies such as Botox or sacral neuromodulation (Interstim) may be used as a last resort.
If stress urinary incontinence is present due to prior prostatectomy, surgeries such as a male urethral sling or artificial urinary sphincter are very effective at reducing incontinence.