Options for Dealing with the Pain of Incontinence

Pete Health Guide
  • Many people suffering from incontinence have the added issue of pain associated with bladder and prostate issues.


    I had surgery to remove some infected prostate tissue in an attempt to cure my chronic bladder infections; unfortunately, it did not.


    What it did leave me with is urge incontinence, stress incontinence, and pain on voiding, all of which can be side effects of prostate surgery.


    My pain occurs if I empty my bladder completely when voiding. I can "control" the pain by stopping my stream early. However, for someone with the tendency toward bladder infections, not emptying can exacerbate the infection. (I also have severe ejaculatory pain.)

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    Other sources of bladder/prostate pain can include the following:


    • Interstitial cystitis
    • Chronic bladder infections
    • Chronic prostatitis
    • Bladder/pelvic organ prolapse
    • Bladder spasms
    • Scarring from previous surgeries, including urethral scarring
    • Cancer
    • Referred pain from other sources: In this case, pain from other pelvic organs/muscles may actually be felt in the bladder.


    With the exception of intersticial cystitis and chronic prostatitis, in general most urologists will classify these as either Painful Bladder Syndrome or Chronic Pelvic Pain Syndrome (CPPS).


    Unfortunately for most sufferers, often a specific cause for the pain cannot be found.


    Most urologists have had little training for diagnosing and treating this type of pain. Three different urologists have treated me over the years and none had any ideas on how to treat my pain. Indeed, two made no effort to address this problem!


    I've had the most success seeing a pain specialist with expertise in treating CPPS and pelvic pain. Not all pain specialists are trained in treating CPPS, so it is important to ask. For example, in my city there are three pain centers, but only one will attempt to treat CPPS, and in my case the doctor gave up after a few treatments.


    People the live with constant pain have two choices:

    • Live with it. Unfortunately, many sufferers cannot seem make the doctors understand and (as has happened to me) sometimes are made to feel as that the pain is only "in their head."
    • Keep searching until a physician is found that is willing to at least try to alleviate the pain.


    I had nearly resigned myself to living with my pelvic pain when I finally found physician that seems genuinely interested in trying to help. In subsequent posts I hope to provide more details on my "journey" for pain relief.

Published On: October 05, 2011