Surgery for incontinence is usually not considered unless all other potential incontinence treatments have failed. In fact, when treating urinary incontinence in men, we usually start with the least invasive treatment, then move toward more aggressive treatments if your urinary incontinence persists.
Initial urinary incontinence treatments for men may include:
- Behavioral techniques
- Physical therapy
- Medical devices (e.g., external catheter, penile clamp)
- Interventional therapies (e.g., bulking agents, botox, electrical stimulation)
When to Consider Incontinence Surgery
Surgery for incontinence is not appropriate for everyone. Men with any of the following conditions may be good candidates for urinary incontinence surgery:
- Ongoing incontinence for which other treatments have failed
- Severe or total incontinence
- Frequent urinary tract infections
- Persistent urinary retention
- Incontinence that is interfering with daily living
Types of Surgery for Urinary Incontinence
If the above treatments are not successful in treating your urinary incontinence, surgical interventions may be considered. There are two types of surgery for urinary incontinence in men:
- Artificial Urinary Sphincter Surgery: surgery to replace your urinary sphincter, which keeps your urethra closed until you are ready to urinate
- Urethral Sling Surgery: surgical implantation of a mesh sling that is designed to support the urethra and put pressure on it, preventing leakage
The links above will give you a more in-depth overview of incontinence surgery.
For more information on incontinence surgery, contact Dr. Leroy Jones, urologist, of San Antonio.