Male Stress Urinary Incontinence
Male stress urinary incontinence (SUI) is leakage that occurs with physical activity such as coughing, sneezing, lifting, or exercise.
It commonly follows prostate surgery and can also be related to pelvic floor weakness.
Video: What to Expect
Anatomy & How Stress Incontinence Happens
The urinary sphincter and pelvic floor support the urethra to maintain continence.
After prostate surgery—or with pelvic floor weakness—pressure from coughing, laughing, or exercise can overcome this support and cause leakage.
Pelvic Floor Physical Therapy (Pelvic PT)
Pelvic PT focuses on strengthening and coordinating the pelvic floor muscles to improve urethral support.
Many patients see meaningful reduction in leakage with a structured, therapist-guided program.
- Targeted pelvic floor exercises and biofeedback
- Bladder training and behavior modifications
- Often first-line therapy or used alongside procedures
ProACT Adjustable Balloons
ProACT uses two small, adjustable balloons placed near the urethra to support closure.
The balloons can be fine-tuned after surgery to optimize continence.
- Minimally invasive, adjustable over time
- Outpatient placement with clinic adjustments
- Often for mild-to-moderate SUI
Male Sling
A sling repositions and supports the urethra to reduce leakage during stress events.
Typically considered for men with mild-to-moderate incontinence and intact sphincter function.
- Supportive mesh placed under the urethra
- Usually outpatient surgery
- Short-term activity restrictions after surgery
Artificial Urinary Sphincter (AUS)
The AUS is a proven solution for moderate-to-severe SUI.
A fluid-filled cuff encircles the urethra and a small pump in the scrotum allows you to open the cuff to urinate and then automatically re-close for continence.
- Gold standard for severe stress incontinence
- Durable with high satisfaction
- Requires patient ability to operate the pump
Frequently Asked Questions
How do I know which option is right for me?
Your urologist will review your history, exam, and any testing to match the treatment to your needs.
Will pelvic PT be required before surgery?
Pelvic PT is often recommended first—either alone or before procedures.
How soon can I return to normal activity?
Recovery varies. Most return to light activity in days, with heavier activity restricted for several weeks.
Is the AUS noticeable to others?
No. Components are internal, and you’ll be shown how to use the pump discreetly.
Meet Dr. Marc Hodroff
Dr. Marc Hodroff is a board-certified urologist at Fore River Urology with expertise in male incontinence, including pelvic floor therapy integration, sling procedures, ProACT, and artificial urinary sphincter placement.
Disclaimer: This information is educational and not a substitute for medical advice.
Please consult your urologist for individualized recommendations.
