What causes urinary
problems after surgery?
Surgery to treat prostate cancer (known as radical prostatectomy) involves removing the entire prostate. Because of the location of the prostate, removing it is likely to cause some urinary problems.
is the prostate?
The prostate sits right underneath the bladder and surrounds the urethra (where urine flows through). So when your surgeon takes out the prostate to remove cancer, the muscles and nerves that control when you urinate (wee/mimi) might be damaged. This can result in stress incontinence (leaking a few drops when you sneeze or cough, or exercise) or you might have heavier leakage and need to use a pad. Many tāne have heavier leakage right after surgery, that improves over time.
Right after surgery, you’ll have a catheter to help pass urine (wee/mimi). Once that’s removed, you’ll have some leaking - this is usually temporary and can be managed with pads.
How common is it?
Most tāne that’ve had surgery to treat their prostate cancer experience some level of urinary problems. The challenges may be different for each tāne, but most issues are treatable and get better over time.
Recovery times, and how long you may need a pad will be different for each tāne. From 10 to 60% of tāne may still require a pad to control leaks 12 months after surgery.
Make sure to talk to your doctor, care team or hauora provider as they’ll know what’s normal and where you may need help to manage your symptoms.
Stress incontinenceAfter surgery, some activities may put stress on your bladder. This is known as stress incontinence.
Everyday habits like sneezing, coughing, laughing, lifting, physical activity or changing your posture can cause unexpected leaks.
You might also experience:
sudden urges to urinate (wee/mimi)
dribbling urine (wee/mimi)
difficulty knowing what products can help (and where to get them)
uncertainty about whether you can do anything, like special exercises, to regain some control
In general, some tāne may also experience changes with their bladder depending on any extra weight they’re carrying, as well as getting older.
managing urinary problems
After treatment, you may need to adjust your exercise routine/whakapakari tinana. Have a kōrero to your doctor about your current level of physical fitness and what changes you might need to make. High impact exercise can increase leaks. If your routine includes heavy strength training (using weights), your doctor or an exercise physiologist may advise you to reduce your weights.
Taking charge of
Reclaiming control of problems and feeling more confident are both possible, with a bit of patience. While it may take some time, being persistent about recovery can bring results. Learn more about pelvic floor exercises (Kegels), specialised underwear for leaks, and lifestyle changes here. You'll find there are several things you can do at home or on the go.
In addition, it's important to check in with your doctor, care team or hauora provider for their recommended tips, and guidance on local resources.