Stress incontinence occurs when a man unintentionally
releases a small amount of urine when he coughs, laughs, strains, lifts, or
changes posture. It is most common after a man has had his prostate gland
removed and there was damage to the nerves or to the external bladder outlet
valve (sphincter). After a man’s prostate gland is removed, the bladder neck no
longer has adequate support from the prostate. The sphincter must then do all
the work of maintaining continence, and the extra pressure of sneezing,
coughing, or straining forces urine past the outlet.
incontinence is often treated with behavioral therapies but may require surgery
if the problem is severe and persistent.