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How do you treat urinary incontinence after prostate surgery?

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The treatment of urinary incontinence after prostate removal includes pelvic-floor exercises, behavior modification, medication, neuromuscular electrical stimulation, surgery and the use of devices, explains WebMD. Mount Sinai Hospital reports that as many as 75 percent of men experience a period of mild urinary incontinence after prostate surgery.

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Pelvic-floor exercises involve the use of Kegel techniques to strengthen muscles involved in urine control. These exercises are often combined with biofeedback sessions in the doctor’s office. Behavior modification involves changing daily routines that increase the chance of accidental urine loss. This includes the reduction in the use of caffeine, alcohol, spicy food and water before bedtime, according to WebMD.

Other interventions that can help reduce incontinence include the use of medication that increases bladder capacity and reduces urinary frequency. Neuromuscular electrical stimulation involves the use of an electrical probe to strengthen muscles that control urination and the bladder. The probe is inserted into the anus after which it sends an electrical current that stimulates contraction. As the current passes, the patient contracts these muscles stimulated by the probe, explains WebMD.

An artificial sphincter is a device that has shown to improve and even cure urinary incontinence in 70 to 80 percent of patients. It involves the placement of a cuff around the urethra, controlled by a pressure balloon and a pump, states WebMD.

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