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Ask The Doc: Why Do I Feel Like I’m Peeing During Foreplay?

QUESTION: I HAD PROSTATE CANCER WITH A RADICAL PROSTATECTOMY AS TREATMENT. SINCE THEN I FEEL LIKE I’M PEEING DURING FOREPLAY. IT’S SO EMBARRASSING! WHAT SHOULD I DO?

ANSWER:

One of the potential side effects of radical prostatectomy is a condition called urinary incontinence. It’s a broad term used to describe the inability to control urine, but it comes in a number of varieties. What it sounds like you have is something called stress incontinence, or SUI. This occurs when pressure on your bladder from activities like coughing, laughing, sneezing, exercising, or, in your case, sexual activity, causes the leakage of urine.

Stress incontinence is the most common type of incontinence after prostate surgery, so it’s not surprising that you may be experiencing it. It’s usually caused by problems with the bladder sphincter, which is the valve that keeps urine in the bladder. Unfortunately, prostate cancer treatments can damage this value or the nerves that keep it working. (1)

While surgical techniques have improved significantly in recent years, SUI remains a frequent side effect, with reported rates that range from 5% on the low end to 48% on the high end. (2) Timing can also play a role in the symptoms you’re experiencing; shortly after radical prostatectomy, about a third of patients complain about urine leakage, but that number usually drops to fewer than 5% of people once they’re a year out from their operation. (3)

Fortunately, SUI is very treatable. Some of your options include pelvic floor exercises, biofeedback, transcutaneous electrical nerve stimulation, external magnetic stimulation, and penile compression devices. (4) In fact, there are so many quality, proven options that you should reach out to a physician straight away. There’s no reason why you should have to live with this condition any longer than necessary.

Why Do I Feel Like I’m Peeing During Foreplay?

The NAFC Ask The Doc series provides answers to some of our reader’s most common questions from a group of experts in the fields of urology, pelvic floor health, bowel health, and absorbent products. Do you have a question you’d like answered? Click here to Ask The Doc!
References:

  1. https://www.cancer.org/cancer/prostate-cancer/treating/surgery.html
  2. Bauer, R. M., Gozzi, C., Hübner, W., Nitti, V. W., Novara, G., Peterson, A., … & Stief, C. G. (2011). Contemporary management of postprostatectomy incontinence. European urology, 59(6), 985-996.
  3. Peyromaure, M., Ravery, V., & Boccon‐Gibod, L. (2002). The management of stress urinary incontinence after radical prostatectomy. BJU international, 90(2), 155-161.
  4. Wilson, L. C., & Gilling, P. J. (2011). Post‐prostatectomy urinary incontinence: a review of surgical treatment options. BJU international, 107, 7-10.

Comments

One Response

  1. Hi I’m 2 years 6 months since Radical Prostectomy . Also 9 months since 35 Radiation treatments to clean up balance of cancer.
    My incontinence is not improving.
    PFE are not working after many thousands of times!
    Can a sling help as I am on 2-3 pads size 2 a day. I lead a fairly active life. 75 years old and need help.

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Medicaid is the nation’s public health insurance program designed for individuals and families who may be low-income, elderly, or disabled. The Medicaid program covers more than 1 in 5 Americans, including many with complex and costly needs for care. With over 74 million Americans relying on Medicaid, it is the largest single source of health coverage in the U.S. The program ensures that qualifying individuals can access medically necessary products, including incontinence supplies, urological supplies, and other medical necessities, as well as healthcare and long-term care services.

Urinary incontinence is a prevalent condition that impacts over 25 million people in the U.S., including more than half of all seniors. Managing incontinence can be challenging, especially for those on a limited income, as the cost of incontinence briefs, underpads, and other bladder control supplies can quickly add up.

Fortunately, for many individuals on Medicaid, coverage is available for the medical supplies needed to effectively manage incontinence, provided there is a qualifying medical diagnosis. This coverage ensures that individuals receive the necessary products to maintain their health and quality of life.

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Comfort Meets Confidence: Washable Incontinence Underwear Designed for Men

When it comes to bladder leaks, most men are familiar with disposable pads or guards. They’re the go-to solution—widely available, easy to use, and instantly replaceable. But what if there were a better option?

What many don’t realize is that washable incontinence underwear has come a long way. Thanks to innovations in fabric technology and thoughtful design, today’s washable options offer dependable protection in a form that looks and feels like regular underwear—without the drawbacks of disposables.