Urinary incontinence treatments for men

Now there are treatments available for men suffering from stress incontinence or sometimes referred to as urinary incontinence which means no more suffering in silence with the use of pads or a urethral catheter.

Most men would rather suffer in silence than admit to the social stigma and loss of control that occurs with urinary incontinence. Male urinary incontinence is usually caused by a damaged sphincter, the circular muscle that controls the flow of urine out of the bladder. When damaged, often due to the unavoidable result of prostate cancer surgery, the muscle cannot squeeze and close off the urethra. This causes urine to leak.

Types of incontinence

  • Stress urinary incontinence
    This is the most common type of incontinence following prostate cancer surgery.  It occurs when you leak urine during a physical activity like lifting, exercising, sneezing and coughing.
  • Urge incontinence
    This occurs when you have an overwhelming need to urinate and are not able to hold urine long enough to reach a toilet.
  • Overflow incontinence
    This is when your bladder doesn’t completely empty, therefore causing urine to leak.

Treat your incontinence and restore your quality of life

Surgical treatments for those that continue to suffer incontinence are available at Spire Cambridge Lea Hospital. Consultant Urologist Mr Nikesh Thiruchelvam will conduct a range of investigations to make recommendations for the surgical treatment options available.

Surgical treatments available at Spire Cambridge Lea Hospital for incontinence

Spire Cambridge Lea Hospital offers a range of surgical treatments for male incontinence including the Artificial Urinary Sphincter, the Advance Male Sling System and Sacral nerve stimulation. Read more about the surgical treatments below.

The Artificial Urinary Sphincter

The artificial urinary sphincter consists of 3 components. One part is a circular cuff that is placed around the water pipe (urethra). This cuff is connected to a small pump that sits in the scrotum and is also connected to small fluid-filled balloon that sits in the abdominal wall. The Artificial Urinary Sphincter is placed completely inside your body to provide simple, discreet urinary control. It mimics a healthy sphincter, keeping the urethra closed until you want to urinate.  Simple control of urination involves squeezing and releasing the pump.

The procedure takes place under a general anaesthetic and you will typically spend a couple of nights in hospital.

The Advance Male Sling System

The male sling system is a safe and effective less invasive treatment for male incontinence. It involves placing a small sling made of synthetic mesh inside the body through small incisions. The mesh supports the urethra (waterpipe) and restores normal bladder control.  The procedure takes place under a general anaesthetic and is typically one night in hospital. 

Many patients are continent immediately following the procedure and can resume normal, non strenuous activities shortly afterwards. 

Sacral nerve stimulation 

Sacral nerve stimulation is carried out in 2 stages over a week or two. The first stage, called the peripheral nerve evaluation, involves temporarily stimulating the nerves in the sacrum to see if stimulation alters bladder function. If the test is successful, a permanent lead is placed into the sacrum and a permanent implant is inserted into the buttock area.

Both the test and permanent procedures are normally carried out as a day-case procedure under a general anaesthetic.

At the first stage the test electrode is connected to a device which generates electrical impulses. The device clips onto your clothing. When the implant is switched on, a tapping sensation can be felt in the genital or rectal area. The test is normally carried out over 7 days following which you will return to have the electrode removed and results discussed with you.


If the test is successful and shows that the stimulator alters bladder function then you will proceed to the next stage at a further date.

Stage 2 involves the permanent implantation of an electrode and impulse generator.  The electrode will be implanted into the sacral nerve and the permanent generator will be placed in your buttock area.  The implant will be switched on the same day and you will be taught how to use the patient programmer.


Spire Cambridge Lea Hospital is the only private hospital in the region to offer this treatment for urinary incontinence. Ask your doctor to refer you to Consultant Urologist Mr Nikesh Thiruchelvam and get your quality of life back.

Insured Patients

Simply visit your GP and ask them to refer you to one of our consultants. Your GP will write a letter of referral and then you can contact us on 01223 266990 to arrange your first out-patient appointment.

Self Pay Patients

For self-pay treatments, simply call us on 01223 266929 to request a guide price or to discuss your personal situation.

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