Help Your Guy Conquer Urinary Incontinence

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See a Premier Physician Network provider near you.


If the man in your life is troubled by urinary incontinence, don’t let him suffer in silence. For some men, the worry and embarrassment keeps them from enjoying activities they love and triggers great emotional distress. 

The good news? There are lots of treatment options. “Today’s minimally invasive techniques make it a great time for men today,” says urologist Douglas Gaker, MD, of Premier Urology. “There are some exciting treatments that can completely change a patient’s life."

Dr. Gaker talks about how urinary incontinence can be treated in men. Click play to watch the video or read the transcript.

How is urinary incontinence treated in men?

Incontinence in men is treating according to its cause and it's a great time for men today with our minimally invasive techniques or advanced medicines they can help those that are caused by medical conditions.

As long as patients are willing to work with their physician, there's some exciting treatments that can completely change a patient's life.

In this last five years or so, we've gone from using medicine that we used in the 1950s that causes cotton mouth and blurry vision and balance problems and constipation to medicines that avoid all those complications if we can ever get them improved through the insurance, or this minimally invasive surgical procedure of placing a bladder pacemaker. It's just a great new era for people, both men and women, for managing incontinence.

  

What Causes Urinary Incontinence?

Urinary incontinence in men happens in three ways:

  • When the brain doesn’t correctly signal the bladder 
  • When the sphincters (the muscles that close to keep urine from leaking out of the bladder) don’t squeeze strongly enough 
  • When both occur 

Some medical conditions, like diabetes or prostate disorder, can lead to incontinence.

Dr. Gaker talks about medical conditions that cause urinary incontinence in men. Click play to watch the video or read the transcript.

What causes urinary incontinence?

There's both medical conditions such as disorders of the brain or metabolic disorders like diabetes that can lead to incontinence, as well as disorders of the prostate.

Diabetes, if it's untreated or poorly managed, causes nerve damage and that can affect things such as your feet or your hands and it can also affect your organs. One of the first organs to be affected is the bladder and it gets weak. Progressively the bladder gets weaker and weaker and you can get a type of incontinence that's called overflow incontinence where the bladder is not able to overcome the resistance from the squeezing prostate.

 

How Common Is It? 

Urinary incontinence (UI) in men is more common than you might think. It occurs in anywhere from 11 to 34 percent of older men. The chances of developing UI increase with age because a man is more likely to develop prostate problems as he ages. If a man is leaking urine, he should see his health care provider or a urologist to find out the underlying cause. 

Dr. Gaker talks about urinary incontinence as a symptom of underlying health issues. Click play to watch the video or read the transcript.

Can urinary incontinence be a symptom of an underlying health issue in men?

If a man is actually leaking his urine, he ought to seek help from a urologist to decide what the underlying cause is. Sometimes it can be a serious problem.

By the time a man starts leaking his urine, he should seek the help of a urologist. In younger men, you're more concerned with neurologic disorders, such as multiple sclerosis or neurologic problems from back disorders. In older men, it's usually related to either a failure of the bladder or a problem with their prostate from either simple enlargement or even prostate cancer, and that's why men need to get checked for this symptom.

 

Are There Different Types?

  • Urgency incontinence: Often caused by unwanted bladder contractions. Triggers can include water — drinking, touching or hearing it —or feeling cold, even from reaching into a freezer.
  • Stress incontinence: Results from movements that put pressure on the bladder, like coughing, sneezing or laughing.
  • Functional incontinence: When a physical disability like arthritis, or problems in thinking or communicating, such as those caused by Alzheimer’s, get in the way of reaching the bathroom in time. 
  • Overflow incontinence: Happens when the bladder doesn’t empty properly and urine spills over. Weak bladder muscles or a blocked urethra can cause this.
  • Transient incontinence: Only lasts a short time, and is usually a side effect of certain medications, drugs or a temporary condition like a urinary tract infection (UTI).

How Is It Diagnosed and Treated?

To diagnose UI, a health care professional will:

  • Take a medical history
  • Conduct a physical exam
  • Order diagnostic tests

Treatment will depend on the type of UI. Typical first steps include:Male Incontinence small

  • Behavioral and lifestyle changes: Cutting out caffeine, exercising more, losing weight and avoiding constipation can all make a positive difference. 
  • Bladder training: Using the bathroom at regular timed intervals (timed voiding) will help decrease UI incidents. Gradually increasing the time between trips helps stretch the bladder so it holds more urine. 
  • Pelvic floor exercises: Strengthening the pelvic floor muscles with Kegel exercises lets the bladder hold urine better.
  • Urgency suppression: Learning to suppress the urge to urinate lets a man maintain control so he doesn’t panic about finding a restroom.
“There are some exciting treatments that can completely change a patient’s life.”

If these don’t work, other options include:

  • Medications: Taking medication can relax the bladder, decrease bladder spasms or treat prostate enlargement.
  • Electrical nerve stimulation: This stimulation can alter bladder reflexes using pulses of electricity.
  • Bulking agents: Injecting bulking agents, like collagen, near the urinary sphincter makes the tissues thicker and helps close the bladder opening. 
  • Surgery: Usually a last resort, there are several outpatient procedures that can help control urination.

Time to Stop Smoking

If the man in your life smokes, the single most important step he can take is to quit. Giving up cigarettes at any age benefits overall well-being, including bladder health. Smoking elevates his chances of developing stress incontinence as it increases coughing, and it’s also the leading cause of bladder cancer. 

It's easy to get the care you need.

See a Premier Physician Network provider near you.

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