5 Things You Need to Know About Urinary Problems After Prostate Surgery

1. Prostate Position

The prostate gland surrounds the urethra and secrets fluid that carries sperm. Because of the prostate's location, it affects the ability to urinate after prostate surgery. Prostate cancer surgery involves the removal of the prostate gland. The prostate is about the size of a walnut and is located below the bladder and in front of the rectum. Prior to prostate surgery, many men have urinary problems due to an enlarged prostate. As men get older the prostate can enlarge and block the flow of urine from the bladder through the urethra.

2. Bladder Basics

Urinary problems after prostate surgery usually happen because of damage to the bladder opening. Since the prostate is located so close to the bladder, nerve damage can occur. This makes incontinence after surgery likely. In most cases incontinence is only temporary and goes away in about three to five months or once the nerves have had a chance to heal. Permanent incontinence from prostate surgery is rare due to advances in surgical techniques.

3. Sphincter Situation

After prostate surgery urinary incontinence can occur due to damage to the sphincter muscle in the urethra. There are many treatments available should the damage to the sphincter not heal over time. The urologist that performed the prostate surgery should follow the patient closely to determine if the damage is permanent or temporary. Treatment for a damaged sphincter includes medications, injections and even an artificial sphincter.

4. Surgery Advances

Just because you have prostate surgery doesn't mean you'll be dealing with incontinence afterwards. New surgery techniques, called nerve-sparing surgery, help prevent damage to nerves in the opening of the bladder often damaged by conventional prostate surgery. Nerve sparing surgery also protects the nerves that control erection.

5. Take Control

The biggest problem men face with urinary incontinence after prostate surgery is control. Most men feel discouraged and frustrated with this aspect of their experience. The cancer is gone, but this new challenge is still with them everyday. Getting control over the situation can help. Make sure you understand your incontinence and how long it will take to recover. Talk to your doctor about what you can do to help your body heal and how best to care for yourself during this time. Realize that you have treatment options available if the condition is permanent. Join a prostate cancer support group for help in dealing with all the emotions connected with prostate surgery.