Can’t hold your water? I know how frustrating and uncomfortable it can feel when urine leakage, dribbling or frequent trips to the toilet rule your life. In this article, you’ll get an overview of why the problem occurs, what types of incontinence there are, and how the symptoms are often linked to erectile dysfunction and pelvic pain. I’ll show you how we can work together to find the cause and tailor a targeted treatment that gives you back peace, control and confidence – both physically and mentally. Read on to understand your options and get concrete advice that can already make a difference in your everyday life.
If you can’t hold your water, it’s often due to a combination of bladder, pelvic floor and nerves – and there are effective, individual solutions to help you.
International speaker & expert in shockwave and EMTT treatment for erectile dysfunction, peyronies & CPPPS.
Can’t hold your water – or are you struggling with dribbling, sudden urge to urinate, frequent trips to the toilet or nighttime urination? You’re not alone and you’re not wrong. As a man, talking about urine leakage can be uncomfortable, especially if you’re also experiencing erectile dysfunction, pelvic pain or insecurity in your intimate life. At my clinic in Copenhagen, I help men from all over Denmark – especially from Zealand and the Copenhagen area – regain control, peace of mind and confidence in everyday life. I work evidence-based with advanced diagnostics and targeted programs that take into account both the body and the mind. My approach is direct and caring: You get clear answers, concrete tools and a plan you can trust.
“Can’t hold my water” is an everyday phrase for urinary incontinence – involuntary urination. It can be anything from small drops when coughing, laughing and lifting to strong and sudden urges where you can’t get to the toilet in time. For some, it’s an after-drip after urination or sex. For others, it’s a constant feeling of needing to pee, a weak stream or getting up several times a night. Whatever form it takes, it’s stressful, but there’s a lot I can do to help you regain calm and control. Overall, it’s about understanding the mechanisms behind it – and then targeting the efforts to fit your everyday life.
The causes are often complex. I often see a combination of pelvic floor function, nerve interference, prostate issues and lifestyle factors. The key is to understand your pattern, your body and your everyday life – so I can target my efforts. Stress, sleep and habits also play a role: a nervous system on alert can amplify urges and make the bladder “quick on the trigger”, while inappropriate toilet habits can perpetuate the problem. When I get the full picture, I can distinguish between what’s driving the symptoms and what’s just making them worse.
The pelvic floor is a muscular mesh that supports the bladder and urethra. If it’s too weak, it doesn’t close well enough; if it’s too tight, it can cause pain, poor coordination and, paradoxically, leakage. Affecting the pudendal nerve or other pelvic nerves can cause bladder hypersensitivity, dribbling and pain. Men with chronic pelvic pain (CPPS) often have disturbed pelvic floor coordination, which can cause urgency, frequent urination and leakage. I work with the interaction between breathing, abdominal and back muscles and the pelvic floor because they function as one pressure system: when the diaphragm and pelvic floor can move freely and in rhythm, the pressure on the bladder decreases and control improves. This results in fewer leaks and less abdominal discomfort.
Enlarged prostate (BPH), previous prostatitis (inflammation) or surgery in the prostate region can alter flow, pressure and closing function. After prostatectomy (removal of the prostate), stress incontinence is common for a period of time. In addition, scar tissue, irritation or infection can affect the urethra and bladder. I am aware of symptoms that may indicate urethral narrowing (stricture) or external sphincter involvement, and I adapt training and treatment to your current healing, sensitivity and strength – so you progress without provoking the tissue.
Men often report that their urinary problems go hand in hand with erectile dysfunction or pelvic pain. It makes sense: blood vessels, nerves and muscles in the pelvis work closely together. Tension, inflammation or nerve irritation can both lower erection quality and cause overactive bladder, after-dripping or pain after sex. There is also a documented link between lower urinary tract symptoms (LUTS) and erectile dysfunction. When I treat the whole – pelvic floor, nervous system, sleep, stress and tissue quality – I often create improvement in several places at once. This gives a sense of coherence in the body and more energy in everyday life.
The first step is a thorough conversation where you are given time and space to talk. I ask about symptoms, habits, lifestyle, sexuality and past history. Together, I use relevant symptom forms (e.g. ICIQ/IPSS) and a diary so we can see patterns – not just guesses. I also review medication, fluid habits, toilet habits and sleep, because small adjustments here often have a big effect.
I offer advanced diagnostics with ultrasound scanning. For example, it can be used to:
If needed, I perform functional pelvic floor tests and simple flow and control exercises to see how the muscles and nervous system respond. If there are signs of infection, blood in the urine, significant blood sugar impact, suspicion of large prostate enlargement or the need for urodynamic measurements, I advise you to talk to your own doctor about relevant tests (e.g. urine sample/urine culture, PSA after individual assessment, blood sugar or referral for further tests).
I always take red flags seriously: severe pain, fever, visible blood in the urine or if you suddenly can’t urinate – in these situations you should seek urgent assessment.
No standard packages. I put together a program that suits your symptoms, your level and your goals. I typically combine training, neuromodulation and tissue-oriented treatment with specific habit changes and advice on intimate life. You’ll get a plan with clear steps so you can feel progress, make adjustments along the way and know what you can do between sessions.
Pelvic floor training helps many, but it has to be done right. Some need to strengthen and coordinate; others need to learn how to release tension and calm the system first. I teach you exactly how to activate and relax the pelvic floor and how to use it in everyday situations (coughing, lifting, running, sex). I often work with biofeedback principles – simple, concrete feedback on whether you are tensing, releasing and dosing correctly, rather than “blind” pelvic floor exercises. You get clear bodily cues (e.g. the sensation of a slight “lift” inside the body and a calm, full release afterwards), so the technique becomes safe and transferable to everyday life.
With neuromodulation, I affect the nerves that control the bladder and pelvic floor. This can reduce overactivity, improve coordination and reduce urgency and leakage. The treatment is gentle and is often used as part of a comprehensive program. I target the modality and dosage to your symptoms – typically via surface electrodes on specific areas – and combine with simple strategies you can use at home to maintain the effect.
If there is pain, muscle knots or tissue involvement in the pelvic region, EMTT (electromagnetic transduction therapy) and focused sound waves can help by increasing blood flow, reducing irritation and normalizing tissue response. For men with chronic pelvic pain or significant tension, this can improve their chances of success with exercise and urinary control. Treatments are typically quick, well-tolerated and without downtime – and I carefully match them to where your body is on any given day.
Urine leakage during or after sex is taboo, but common. I address it respectfully and concretely: timing of urination, positions, pelvic floor control and a tailored plan to reduce after-drip. If you also have erectile dysfunction or pain, I integrate sexological counseling to help you regain peace, function and desire. The goal is for you to be present in intimacy without worrying about leakage – with techniques that are simple to put into practice.
Yes, postvoid dribbling is common and is often caused by residual urine in the urethra and/or poor pelvic floor coordination. With targeted technique and training, it can typically be significantly improved. I’ll show you a simple routine that makes a clear difference in everyday life.
Some get spontaneous improvements, but many go too long and adapt to everyday life. The sooner I address it, the sooner you’ll gain control and reduce discomfort – and I can help you prevent the pattern from setting in. It’s all about small, consistent steps in the right direction.
For overactive bladder, medication can alleviate symptoms in some cases. For prostate-related problems, specific medications can provide relief. I advise you on how to talk to your GP about the options, if this is relevant to you. At the same time, I work on the causes so you don’t just alleviate the symptom.
Yes – but with a plan. With the right strategy, you can often keep going or come back faster: building in levels, consciously using the pelvic floor and adjusting the load. I create a concrete plan for your goals so you can train with confidence.
Urine leakage is rarely a sign of cancer in itself. Red flags include visible blood in the urine, unexplained weight loss, fever or severe pain. If you experience this, you need to be assessed quickly. Otherwise, I will perform a thorough, calm examination and involve your own doctor if you need tests that I do not perform in the clinic.
Most people notice improvement within 4-8 weeks when I combine exercise, neuromodulation and targeted habits. For longer-term pain or after surgery, it may take longer – but I set specific milestones so you can feel progress and know what the next step is.
After prostatectomy, stress incontinence is common. Systematic pelvic floor training, neuromodulation and a clear plan for progression make a big difference. I take into account scars, tissue and your current status – without pushing too hard too soon – and help you safely progress towards better control.
In these cases, you should seek urgent assessment. Otherwise, you’re welcome here, where I will calmly find the cause and solution together with you.
You don’t have to live with the feeling of “can’t hold your water”. I offer a structured, respectful and effective program of advanced ultrasound, neuromodulation, EMTT, focused sound waves and targeted training – combined with advice on sleep, lifestyle and sexual well-being. You get someone who listens, explains and takes you seriously. Book an appointment at my clinic in Copenhagen or contact me to find out how I can help you. I meet you without prejudice – and I find a solution that fits your body, your life and your goals.
If you are interested in hearing more about how I can help you, you are always welcome to contact me by phone 41 40 08 58 or email michael@msinsight.dk. I’ll get back to you quickly with a customized proposal so we can find the best way forward together.
I will get back to you within 12-24 hours.
Are you unsure what’s behind your symptoms or whether a specialized course of treatment makes sense? Then you can start with a short, confidential assessment. Here we will assess whether your symptoms match what I work with at MS Insight and what the next relevant step might be.
The clarifying conversation is not a full consultation, diagnosis or treatment plan. It’s for those who want a serious assessment of whether it makes sense to proceed with a more thorough examination, ultrasound scan and individual plan.
The clinic is a private clinic offering an alternative treatment setup to the public system with shockwave, EMTT and NESA X for sexual dysfunctions and especially erectile dysfunction, peyronies and pelvic pain.
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