Leaking urine during sex

Often an unwanted surprise

If your loved one has just had radical prostatectomy, leaking urine during sex is not uncommon, particularly when he is at the stage of climax (orgasm).

Fortunately, this is expected to lessen over time.

What may be more of a shock to a woman is when her man suddenly starts leaking urine during foreplay years later, after he has been fully continent, during both foreplay and climax.

This unfortunate side effect may occur several years after initial radiation treatment.  

It may also happen if your loved one’s cancer recurs (comes back) after radical prostatectomy and he needs further treatment with radiation, which is called salvage radiation.

According to the American Cancer Society, the chance of incontinence rises each year for several years after external beam radiation.

Why does it happen?

When a man becomes aroused during sex, his pelvic muscles will contract. If his bladder muscles are weakened by treatment, it is possible that he may leak some urine during sex.

While urine leakage is harmless, it can certainly be uncomfortable for both of you.  It also may be a source of shame for your man. 

It may help to remind your man that as women age, we also often experience bladder leakage. 

While the urine is completely harmless, it can be a bit shocking.

What can you do?

Here are some tips that may help you and your man:

  • Limiting the amount of fluids he drinks several hours prior to lovemaking
  • Avoiding drinks or foods that contain caffeine, which can stimulate the bladder
  • Completely emptying his bladder before lovemaking
  • Having your man lie on his back while you make love
  • Keeping a thick towel on hand in case of a wetting accident
  • Protecting the surface you are lying on with a plastic shower curtain or a plastic mattress pad

If leaking urine during sex persists

If leaking urine during sex does not improve in the months after initial surgery, or it gets worse over time after initial radiation or salvage treatment, your loved one can talk to his urologist about available treatments for urinary incontinence.

A sense of humor helps

We know of one couple that brags that any lovemaking session that does not require three towels is less than stellar! 

Updated 3/15

Back to sex after prostate cancer
Return to homepage

American Cancer Society. How is prostate cancer treated? http://www.cancer.org/docroot/CRI/content/CRI_2_2_4X_How_Is_Prostate_Cancer_Treated_36.asp. Accessed February 22, 2009.

Urological Research Foundation. Conditions after radical prostatectomy. http://www.drcatalona.com/qa/arch_rp-conditions.asp. Accessed February 22, 2009.

Always consult a medical professional.

Page copy protected against web site content infringement by Copyscape
Search site
Search site