Radiological imaging aids in the diagnosis and treatment of male stress urinary incontinence. Ultrasound, which is both safe and readily available, offers real-time visualisation of pelvic anatomy and pelvic floor muscle functionality. CT imaging provides high-resolution views to delineate pelvic anatomy and to detect post-operative complications. MRI excels at visualising pelvic floor musculature and urethral length, as well as the detection of possible underlying prostate cancer. Fluoroscopy is the gold standard for diagnosing and assessing urethral stricture, as well as for detecting complications such as urethral erosion and anastomotic leaks post-urethroplasty repairs. A comprehensive approach involving a combination of these various imaging modalities is often required in the assessment, surgical planning, and treatment of male stress urinary incontinence.