Urinary incontinence in men is more common than most realize — and far more treatable than many men assume. Whether it’s a few drops with a cough, a sudden urge that can’t be held, or persistent leakage after prostate surgery, incontinence can quietly chip away at confidence and daily life. The important thing to know is this: it is not something you simply have to live with, and the right treatment can restore real control.
Dr. Justin Houman is a board-certified urologist and Fellow of the American College of Surgeons whose subspecialty training in male reproductive medicine and microsurgery is held by fewer than 2% of urologists in the United States. An Assistant Professor of Urology at Cedars-Sinai Medical Center and a Top Doctor in Los Angeles as named by Los Angeles Magazine, he treats male incontinence across the full spectrum — from pelvic floor rehabilitation to advanced surgical options like the male sling and artificial urinary sphincter. Featured in national media including Men’s Health and the New York Post, he helps men reclaim control and confidence, often after they’ve been told to simply live with it.
I had an excellent experience with Dr. Justin Houman, who is truly an expert in male fertility. He took the time to listen carefully and explain all the available options in a way that was easy to understand. His approach is compassionate, professional, and very thorough. I felt confident knowing I was in the care of someone highly specialized in men’s reproductive health. If you are looking for a knowledgeable and caring physician to help with male fertility concerns, I highly recommend Dr. Houman.
What Is Male Urinary Incontinence?
Male urinary incontinence is the involuntary leakage of urine — anything from occasional drops to a more significant loss of control. It can affect men at any age but becomes more common with age and after certain prostate treatments. While it’s a sensitive subject many men hesitate to raise, it’s also a medical condition with effective treatments, and bringing it up is the first step toward resolving it.
Types of Male Urinary Incontinence
Incontinence isn’t one condition but several, and the type guides the treatment:
- Stress Incontinence: Leakage triggered by pressure on the bladder — coughing, sneezing, laughing, or lifting; in men, it’s most often related to prostate surgery.
- Urge Incontinence: A sudden, intense urge to urinate followed by leakage, frequently linked to an overactive bladder.
- Overflow Incontinence: Constant dribbling because the bladder doesn’t empty fully, often due to an obstruction such as an enlarged prostate.
- Mixed Incontinence: A combination of more than one type, which is common.
What Causes Urinary Incontinence in Men?
Several factors can lead to incontinence in men. The most common include prostate surgery — particularly for prostate cancer — which can affect the muscles that control urine flow; an enlarged prostate that obstructs the bladder; neurological conditions such as Parkinson’s, multiple sclerosis, or spinal cord injury; an overactive bladder; certain medications; and weakened pelvic floor muscles. Identifying the cause is what makes targeted, effective treatment possible.
Incontinence After Prostate Surgery
One of the most common reasons men develop incontinence is treatment for prostate cancer, especially radical prostatectomy. The good news is that this type of stress incontinence is highly treatable. Many men improve significantly with pelvic floor rehabilitation, and for those with persistent leakage, surgical options — a male sling for milder cases or an artificial urinary sphincter for moderate to severe leakage — can dramatically restore control. These are well-established, effective procedures, and Dr. Houman helps each man choose the right one for his situation.
Male Urinary Incontinence Treatment Options
Treatment is matched to the type and severity of incontinence, beginning with the least invasive effective option:
Pelvic Floor Rehabilitation
Targeted Kegel exercises and physical therapy strengthen the muscles that control urination — often the first and most effective step.
Lifestyle/Bladder Training
Managing fluids, limiting bladder irritants like caffeine and alcohol, and retraining the bladder can meaningfully reduce episodes.
Medications
Depending on the type, medications can calm an overactive bladder or improve flow when obstruction is involved.
Advanced Procedures
For overactive bladder, Botox injections or nerve stimulation can help; for stress incontinence, a sling or artificial urinary sphincter is a lasting solution.
Frequently Asked Questions About Male Urinary Incontinence
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Yes — it’s highly treatable, ranging from pelvic floor therapy and medication to advanced surgical options, and it’s not something you have to simply accept.
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Prostate surgery can affect the muscles controlling urine flow, causing stress incontinence; this often improves with therapy and can be resolved with a sling or artificial sphincter if it persists.
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It’s an implanted device that restores control by keeping the urethra closed until you choose to urinate — a highly effective option for moderate to severe stress incontinence.
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Yes — for many men, especially after prostate surgery, pelvic floor (Kegel) exercises are an effective first-line treatment that strengthens urinary control.
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Stress incontinence is leakage with physical pressure like coughing, while urge incontinence is leakage following a sudden, strong urge; treatment differs for each.
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Any leakage that affects your daily life, confidence, or comfort is worth evaluating — effective treatment is available, and the cause guides the best approach.
Why Choose Dr. Houman for Incontinence Treatment in Los Angeles
- Full Spectrum of Incontinence Care: From pelvic floor therapy to advanced surgery.
- Post-Prostatectomy Expertise: Effective solutions, including the sling and artificial sphincter.
- Cause-Specific Treatment: A plan matched to your type of incontinence, not a generic fix.
- Discreet, Restorative Care: Sensitive treatment focused on restoring your confidence.
Meet Dr. Houman
Expert in Men’s Health with Tower Urology and Cedars Sinai
Dr. Justin Houman, MD, FACS is a board-certified urologist and fellowship-trained microsurgeon at Tower Urology, Cedars-Sinai Medical Center in Los Angeles. His subspecialty training in male reproductive medicine and microsurgery is held by fewer than 2% of practicing urologists in the United States.
His clinical focus is narrow by design. Varicoceles, chronic testicular pain, male infertility, vasectomy, testosterone optimization, erectile dysfunction, penile implant surgery, and Peyronie’s disease are not add-on services here. They are the practice. Patients travel from across the country and internationally for procedures, particularly microsurgical varicocelectomy, spermatic cord denervation, and inflatable penile implant surgery, that require a level of subspecialty training and surgical volume most urology practices do not have.
Male Urinary Incontinence Treatment in Los Angeles
Leakage can feel isolating, but it’s common, treatable, and nothing to be embarrassed about — and for many men, it can be largely or completely resolved. Dr. Houman offers discreet, effective incontinence care for men across Los Angeles and Southern California, tailored to the cause and your goals. Contact the Los Angeles office to schedule a consultation and take back control.
