Symptoms

Your symptoms will depend on the type of urinary incontinence you have.

Symptoms of stress incontinence may include loss of urine while:

• Coughing.
• Laughing.
• Lifting.
• Straining.
• Changing posture.

Symptoms of urge incontinence may include:

• A sudden, urgent need to urinate.
• Sudden accidents in which you lose a large amount of urine.
• The need to urinate frequently, often at night.

Symptoms of overflow incontinence may include:

• A urine stream that starts and stops during urination.
• An accidental release of a small amount of urine.
• A weak urine stream.
• A need to strain while urinating and a sense that the bladder is not empty.
• An urgent need to urinate, often at night.
• Loss of urine while asleep.

What Happens

Urinary incontinence in men is often related to prostate problems. As men age, the prostate gland grows larger, squeezing the urethra and pushing the neck of the bladder out of position. These changes can lead to incontinence. In most cases, incontinence due to prostate enlargement can be cured by medicine or prostate surgery.

But prostate surgery is also a major cause of urinary incontinence in men.

• Short-term (acute) incontinence following prostate surgery may go away with time, especially for younger men. In some cases, the incontinence may last up to a year.
• Stress incontinence is a common complication following prostate removal (radical prostatectomy) or radiation treatment for prostate cancer, though it is becoming less common with improving surgical techniques. For more information, see the topic Prostate Cancer.
• Some treatments for an enlarged prostate (benign prostatic hyperplasia, or BPH) can also cause incontinence, but this is uncommon. For more information, see the topic Benign Prostatic Hyperplasia (BPH).

If your incontinence is not related to prostate surgery and it appears suddenly, it will usually clear up after you have received treatment for whatever is causing the incontinence. For example, incontinence related to a urinary tract infection, prostatitis, or constipation will most likely disappear when the infection or condition is cured. For more information, see the topics Urinary Tract Infections and Prostatitis.

For some men, incontinence may have more than one cause.