Men’s Reconstructive Urology
Specialized evaluation and treatment for male urinary incontinence and related reconstructive concerns. If leakage is limiting your activities, travel, exercise, or confidence—there are effective options, including male sling procedures and the artificial urinary sphincter (AUS).
Reconstructive-focused care
We tailor treatment to your goals, anatomy, and lifestyle—with a stepwise approach from conservative options to advanced surgery.
Post-prostate treatment leakage
Stress urinary incontinence after prostatectomy or radiation is common—and often very treatable with sling or AUS when appropriate.
Confidence & control
Our aim is durable improvement, fewer pads, and getting you back to normal activities with a plan you understand.
Male Urinary Incontinence
Male incontinence is the unintentional leakage of urine. It can be mild (occasional leakage with activity) or severe (frequent leakage requiring multiple pads per day). Many men experience symptoms after prostate surgery, radiation, or other pelvic procedures.
Common Types
- Stress urinary incontinence (SUI): leakage with coughing, laughing, standing, lifting, or exercise.
- Urgency urinary incontinence: leakage associated with a sudden, strong urge to urinate.
- Mixed symptoms: both stress and urgency components.
A clear diagnosis matters because treatments differ depending on the type of leakage.
When to get evaluated
- Leakage affecting quality of life, travel, or exercise
- Multiple pads per day or bothersome “activity leaks”
- Recurrent skin irritation, infections, or nighttime disruption
- Persistent leakage after prostate treatment (typically beyond early recovery)
If you’re unsure what’s “normal,” we can help clarify expectations and options.
How We Evaluate Incontinence
We start with a detailed history and targeted testing to identify the cause and match you with the right treatment.
- Symptom review (pad use, triggers, urgency, nighttime symptoms)
- Medication review and contributing conditions
- Urinalysis and post-void residual (PVR) when appropriate
- Cystoscopy or imaging when indicated (to assess urethra/bladder)
- Urodynamic testing in select cases (especially mixed/complex symptoms)
Bring to your visit
- A list of current medications
- Prior operative reports (e.g., prostatectomy/radiation details) if available
- A brief “bladder diary” (optional): fluids, voids, leakage episodes, pads/day
If you’ve been treated elsewhere, we can help gather key records.
Treatment Options
Treatment is individualized. We often start with conservative strategies and progress to procedural options when needed.
Male Sling
A male sling is designed to improve stress urinary incontinence by supporting the urethra and improving closure during activity. It is often considered for men with mild to moderate stress incontinence, depending on clinical factors.
- Outpatient procedure in many cases
- Goal: reduce pads and “activity leaks”
- Best candidates typically have primarily stress leakage
Your urologist will discuss candidacy, recovery expectations, and realistic outcomes based on your history.
Artificial Urinary Sphincter (AUS)
The AUS is a proven surgical option for men with more significant stress urinary incontinence. It uses an implanted cuff around the urethra connected to a small pump in the scrotum. You control urination by squeezing the pump to temporarily open the cuff.
- Often used for moderate to severe stress incontinence
- Durable, widely used solution with long track record
- Requires manual operation (pump)
We’ll review benefits, risks, device expectations, and long-term considerations (including potential future revision).
Learn more about Male Incontinence with Dr. Lacy
Fellowship-trained male reconstructive urologist Dr. John Lacy explains causes of male incontinence and modern treatment options, including the male sling and artificial urinary sphincter (AUS).
If you’d like to be evaluated, contact us below or message us on Klara.
Schedule a Consultation
We’ll review your symptoms, prior prostate treatment history (if applicable), and create a clear, stepwise plan.
Contact University Urology
University of Tennessee Medical Center
1928 Alcoa Highway, Building B, Suite 222 • Knoxville, TN 37920
Hours: Mon–Fri 8:00–4:30 • Satellite office hours vary by provider and location.