COVID-19 update:  Our hospital is still fully open for appointments and admissions, however visitors are not permitted.

Male Incontinence

Urinary incontinence in men (male incontinence) is the inability to control the bladder and stop the flow of urine. Although it affects more women, it is a common condition in men and, depending on the cause, can be temporary or permanent.

Male incontinence symptoms

From stress incontinence (when men leak a little when laughing or sneezing) to more serious forms of incontinence where complete loss of bladder control is experienced, London Urology specialises in the treatment of male incontinence.

Some men will experience frequent urges to go pass urine, which is urge incontinence, sometimes known as an overactive bladder.

Causes of male incontinence

Sometimes treatment for prostate cancer can cause urinary incontinence. Surgery and radiotherapy can damage the muscles of the valve of the sphincter, which controls urine flow.

Post-prostatectomy incontinence

Whilst the results of benign and radical prostatectomy procedures are generally excellent, both cut tissue immediately above the sphincter mechanism, and in some patients, the sphincter is injured. Stress incontinence following benign prostatectomy occurs in 1-2%. Following radical surgery mild leakage occurs in 20-40% and more significant incontinence in 10%. Post prostatectomy incontinence is not predictable, independent of technique, and neither surgeons nor patients should see this problem as a failure of ability

Enlarged prostate: An enlarged prostate, which obstructs the urethra, the tube which carries urine out of the body, is often responsible for an overactive bladder or urge incontinence, when men feel the bladder is never fully empty.

Male incontinence treatment

The male sling is less invasive than other forms of treatment but whilst proving successful, it is a new treatment and does not rule out other forms of treatments.

Made from polypropylene mesh, the male sling is similar to the transvaginal tape used to treat female incontinence and is very effective for patients with mild to moderate incontinence. To reposition the curved part of the male urethra and prevent leakage, the male sling is implanted under general anaesthetic and passed through the urethra with a small incision to the perineum.

Artificial urinary sphincter

Made from a special type of silicone, the artificial urinary sphincter is a device which replaces the function of the sphincter using three main parts: a cuff, a pump and a balloon, which are all connected by silicone tubing. It is an effective treatment for men with severe stress incontinence.

Implanted under general anaesthetic, the AUS cuff is inserted through an incision made in the perineum, between the scrotum and anus. A small incision is made in the groin, the balloon in the abdomen, and the pump in the scrotum.

The cuff is filled with fluid and keeps the urethra shut. When it is time to urinate, the scrotal pump is used. After a few minutes, the fluid returns from the balloon to the cuff, and the urethra tightly closes.

It is switched off for the first six weeks after surgery, after which your specialist will switch it on.

Find out more with our Male Incontinence FAQ.

Contact us

Mr Jeremy Ockrim is a specialist in treating both male and female incontinence. If you have a question or would like to book an initial consultation then you can contact our team by email londonurology@hje.org.uk or call us on 020 7432 8297

Urology Clinic

Our private urology clinic in London uses the latest techniques to give you the best diagnosis, intervention and aftercare for any urology problem you may be suffering from, allowing you to get back to your normal life as soon as possible.  We provide our urology Consultants with the most modern diagnostic equipment, so they can quickly find out what’s wrong. They also have four operating theatres at their disposal to carry out procedures, which cuts waiting times.

A patient speaking to a receptionist

Patient information

Our Hospital is renowned for providing exemplary levels of care across more than 90 services. From orthopaedics, to urology, ENT, as well as a private GP practice and our urgent care centre, Casualty First, our services are led by some of London’s leading Consultants. For more information, and to find a service suitable for your care, find out more about the services that we offer.

Make an enquiry

If you have any questions relating to treatment options or pricing information then get in touch with us by filling out one of our contact boxes or giving us a call on 020 7432 8297.

Our Appointments Team have a dedicated and caring approach to finding you the earliest appointment possible with the best specialist.

 If you are self-paying you don’t need a referral from your GP for a consultation. You can simply refer yourself* and book an appointment.

If you have medical insurance (e.g. Bupa, Axa PPP, Aviva), you will need to contact your insurer to get authorisation for any treatment and, in most cases, you will require a referral letter from your GP.

If you do not have a GP, then we have an in-house private GP practice that you can use. Alternatively we can suggest the most appropriate course of action for you to take, given your location and individual circumstance.

*Please note – for investigations such as X-rays and MRI’s a referral will be required. However, we may be able to arrange this for you through our on-site private GP.

    Make an enquiry

    Latest articles

    The latest news, insights and views from St John and Elizabeth Hospital.

    Find out what we’re doing to keep you safe, read expert articles and interviews with our leading specialist Consultants, learn more about common conditions and get your questions answered.

    Remember to subscribe to our monthly newsletter to get the latest news sent straight to your inbox.

    a close up of above the pelvic region - a blog post about urology

    23rd July 2021

    What does a urologist do on the first visit?

    We look at the complex world of urology and what to expect on the first visit to a urologist.

    dr showing how to examine breasts for lumps

    16th July 2021

    How regular screenings at a breast clinic can keep you healthy

    Having screenings at a breast clinic can put your mind at rest or allow you to take early action if something abnormal is found.

    private surgeons performing a hernia operation

    09th July 2021

    Scheduled for a hernia operation? Here’s what to expect

    We look at hernias and the different types that can occur, what kind of symptoms might tell you you have a hernia and what to expect if you’re scheduled to have a hernia operation.

    A smiling nurse

    02nd July 2021

    How much does a cervical screening cost?

    Wondering how much a cervical screening costs? We examine this important procedure and…

    a close up of female skin side shoulder view

    18th June 2021

    Checking your skin at a private dermatology clinic

    We examine the functions of the skin, what can go wrong and when…

    a doctor talking to a patient at a private urgent care centre in london

    04th June 2021

    A private urgent care centre for when you need immediate attention

    There’s no need to wait around when you opt for a private urgent…

    A patient waiting at London Urology

    28th May 2021

    The 3 most common prostate problems you need to know about

    One in five men will experience prostate problems at some point in their…

    Fibroscan at The Gi Unit

    14th May 2021

    What is a Fibroscan: Five facts you may not know

    A Fibroscan is a simple, painless and non-invasive procedure used to accurately assess…

    International Nurses Day blog banner

    11th May 2021

    International Nurses Day 2021 at St John and St Elizabeth Hospital

    This year’s theme of International Nurses Day is: “A Voice to Lead –…

    Close up of woman exercising on gym machine

    23rd April 2021

    Mr Dimitrios Tsekes: How to avoid a bicep injury in the gym, and how to treat a bicep tendon tear

    Mr Dimitrios Tsekes, a leading orthopaedic and upper-limb surgeon at our Shoulder Unit,…

    12th March 2021

    Patient safety awareness: our pledge

    Patient safety is at the heart of St John & St Elizabeth Hospital’s…

    03rd March 2021

    Ask the Expert: Cataracts

    Cataracts are a common issue affecting older adults, where cloudy patches form on…