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Bladder leaks: When you need to seek help

The Straits Times

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November 19, 2025

Involuntary urine leakage in men can stem from prostate or neurological problems, says urologist Allen Sim

It is not easy for men to talk about losing control of their bladder, despite the discomfort they face.

Some may laugh it off. Others may chalk it up to ageing.

While it may seem like a minor nuisance, urinary incontinence, which can affect men at any age, can sometimes signal underlying issues with the prostate, nerves or bladder muscles, says Dr Allen Sim, urologist at Mount Alvernia Hospital. Here, he explains its causes and treatment options.

What causes urinary incontinence in men, and what are some lifestyle triggers?

The most common cause is prostate enlargement, which can block the flow of urine or irritate the bladder. Some men may also experience leakage after prostate surgery - especially radical prostatectomy - as the surgery can weaken the muscles that control urine flow. Urinary incontinence related to prostate issues is common in males above the age of 50.

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