After a prostatectomy, there are several changes that occur in your body due to the removal of the prostate, ligaments, and part of the

urethra. These changes can affect functions like continence (bladder control) and sexual function. Here’s an overview of some of the changes:

Bladder Control Issues (Incontinence):

External Urethral Sphincter and Pelvic Floor: After surgery, the external urethral sphincter, which is crucial for controlling

urination, may weaken. This occurs because it has not been actively used while the prostate was enlarged, compressing the

urethra. Following surgery, your body needs to re-learn how to use these muscles effectively to control urination.

Pelvic Floor Muscles: Pelvic floor muscles also play a key role in continence. Post-surgery, these muscles might be weak,

requiring retraining to improve bladder control.

CAUSES OF URGE INCONTINENCE:

• Neurological conditions and disorders like Parkinson’s disease, multiplesclerosis, and strokes can also result in urge incontinenceIn
• flammation or irritation of the bladder, especially in situations like cystitis

Overactive Bladder:

Some men experience an overactive bladder after a prostatectomy, which is characterized by sudden, strong urges to urinate that are difficult to ignore. This can result in frequent urination (more than 5-8 times a day), urgency, and even incontinence (leakage of urine). Nocturia (waking up at night to urinate) is also common.

Erectile Dysfunction (ED):

Erectile dysfunction is another common issue after prostate surgery due to the disruption of nerves that control erections. This can

significantly affect sexual function and quality of life.

However, treatments like BTL Emsella can help improve sexual function by stimulating the pelvic floor muscles and improving blood flow to the area.

OTHER REASONS:

• Medications like sleeping pills, diuretics, sedatives, and antihypertensive drugs,
• sedatives may cause urinary incontinence
• Excess alcohol consumption
• Urinary tract infections or inflammation