Bicalutamide and Urinary Issues: Managing Incontinence and Other Problems

Bicalutamide and Urinary Issues: Managing Incontinence and Other Problems May, 4 2023

Understanding Bicalutamide and Its Effects on Urinary Issues

Bicalutamide is a medication commonly prescribed for the treatment of prostate cancer. While it has proven to be effective in managing the progression of the disease, it can sometimes cause urinary issues such as incontinence and other problems. In this section, we will explore the relationship between Bicalutamide and urinary issues to help you understand why these may occur and how to manage them effectively.

As a hormone therapy, Bicalutamide works by blocking the action of testosterone, which is a hormone that fuels the growth of prostate cancer cells. By reducing testosterone levels in the body, Bicalutamide slows the progression of the disease. However, one of the side effects of this treatment can be urinary problems, such as incontinence, frequency, and urgency. These issues can be bothersome and impact your quality of life, but understanding their causes and learning how to manage them can make a big difference.

Identifying the Different Types of Urinary Incontinence

Urinary incontinence is a common side effect of Bicalutamide, and it can present itself in different ways. It is important to recognize the various types of incontinence to properly address and manage the issue. Here are the most common types of urinary incontinence that you may experience while on Bicalutamide:

Stress Incontinence

Stress incontinence is characterized by the involuntary leakage of urine during activities that put pressure on the bladder, such as coughing, sneezing, laughing, or lifting heavy objects. This type of incontinence is usually caused by weakened pelvic floor muscles, which are responsible for supporting the bladder and preventing leakage.

Urge Incontinence

Urge incontinence, also known as overactive bladder, occurs when you have a sudden and intense urge to urinate, followed by an involuntary loss of urine. This can be caused by various factors, such as an overactive bladder muscle, nerve damage, or inflammation of the bladder lining due to Bicalutamide treatment.

Mixed Incontinence

Mixed incontinence is a combination of both stress and urge incontinence. In this case, you may experience both types of symptoms, making it important to address both causes in order to effectively manage the issue.

Practical Tips for Managing Incontinence and Other Urinary Issues

Managing incontinence and other urinary issues caused by Bicalutamide can be challenging, but implementing some practical strategies can help improve your quality of life. Here are some tips to help you manage these issues:

Strengthen Your Pelvic Floor Muscles

Performing pelvic floor exercises, also known as Kegel exercises, can help strengthen the muscles that support the bladder and prevent leakage. These exercises involve contracting and relaxing the muscles that you use to control urination. By practicing Kegel exercises regularly, you can improve the strength and function of your pelvic floor muscles, which can help reduce the severity of incontinence symptoms.

Monitor Your Fluid Intake

While it's essential to stay hydrated, it's also important to monitor your fluid intake to avoid exacerbating urinary issues. Aim to drink a healthy amount of water throughout the day, but try to avoid excessive consumption, which can increase the urgency and frequency of urination. Additionally, limit your intake of caffeine and alcohol, as they can irritate the bladder and worsen incontinence symptoms.

Use Incontinence Products

There are various incontinence products available that can help you manage leakage and maintain your confidence in daily activities. These products include absorbent pads, adult diapers, and protective underwear. By using the appropriate incontinence products, you can minimize the impact of urinary issues on your daily life.

Plan Your Bathroom Breaks

To reduce the likelihood of accidents, plan your bathroom breaks throughout the day. By establishing a regular schedule for urination, you can train your bladder to empty at specific times and minimize the risk of unexpected urges.

When to Seek Medical Assistance

If you are experiencing persistent and severe urinary issues while on Bicalutamide, it's crucial to consult with your healthcare provider. They can assess your symptoms, provide guidance on managing the side effects, and consider alternative treatments if necessary. In some cases, your doctor may recommend additional therapies, such as bladder training, medications to relax the bladder, or even surgical intervention.

Remember, it's essential to communicate openly with your healthcare provider about your experience with Bicalutamide and any urinary issues you may be facing. Together, you can develop a comprehensive plan to manage these side effects and maintain your quality of life.


While Bicalutamide can be an effective treatment for prostate cancer, it can also lead to urinary issues such as incontinence and other problems. By understanding the different types of incontinence, implementing practical strategies to manage symptoms, and seeking medical assistance when necessary, you can minimize the impact of these side effects on your daily life. Remember, you don't have to face these challenges alone – your healthcare provider is there to support you every step of the way.