Involuntary urination or unregulated discharge of urine is referred to as urinary incontinence. It occurs due to lack of control of the bladder which could be quite humiliating. The nature of the disorder varies from passing urine sometimes as you cough or sneeze to experiencing such an exceedingly sudden and intense need to urinate, that you can’t get to the washroom on time.
Causes of Urinary Incontinence in Men
Finding out the root cause of urinary incontinence is the first step towards your treatment. The common health conditions that usually cause male urinary incontinence include:
- chronic cough
- bladder or urinary tract infection
- weak pelvic floor or bladder muscles
- an obstruction in urinary tract infection
- nerve damage
- loss of sphincter strength
- prostate cancer
- enlarged prostate
- neurological disorders, which can interfere with bladder control signals
Other lifestyle factors that can contribute to urinary incontinence in men include:
- not being physically active.
Types of urinary incontinence in men
Many individuals who suffer from urinary incontinence go through small or minor urinary leakage. Others will most generally lose small to moderate quantities of urine.
In males, forms of urinary incontinence include:
- Stress incontinence. This is a condition when your urine spills during coughing, sneezing, laughing, running, or raising something big. This mainly occurs due to the pressure placed on your bladder.
- Urge incontinence. You will have a severe, powerful desire to urinate, accompanied by urinary leakage, which is spontaneous. Sometimes, even during the night, you will get the urge to urinate frequently. A minor disease, such as infection, or a more serious condition, such as a neurological disorder or diabetes, can cause urge incontinence.
- Overflow incontinence. Because of a bladder that doesn’t drain fully, you feel regular or continuous urinary dripping.
- Functional incontinence. A physical or emotional disorder where you will face urine leakage even before you go to the washroom. If you have serious arthritis, for example, you will not be able to unbutton your trousers fast enough.
- Mixed incontinence. There is more than one form of urinary incontinence that you will be facing, in this condition.
Symptoms of Urinary Incontinence in Men
Urinary incontinence itself is not a disorder and is considered to be the symptom of another health issue called poor pelvic floor muscles. Other problems associated with Urinary Incontinence are:
- Pressure or spasms in the pelvic region that induce a heavy urge to urinate.
- Going to the washroom more than usual (more than eight times a day or more than twice at night).
Urinating while asleep (bedwetting).
Diagnosis of Urinary Incontinence in Men
If you feel that you are going through this condition, then feel free to reach out to us at Bizrahmed, Dubai. At our clinic, you will be treated by an expert and experienced urologist specialist who will analyzed the case and determine the most appropriate medication for your urinary incontinence condition. A detailed biography and physical examination, including a pelvic examination, will be conducted initially.
Tests listed below may be recommended to help validate the diagnosis:
- Urinalysis: A sample of your urine is analyzed to check for infection, blood, or other abnormalities.
- Stress test: To determine whether stress on the bladder triggers leaking, you will be asked to cough or lean with a full bladder.
- Post-void residual urine measurement: A thin, soft tube called a catheter will be placed into the bladder to remove and measure the excess urine. This should be then checked to see if urine persists, once you have drained the bladder entirely. An ultrasound examination of the bladder will also be carried out.
- Cystoscopy: Inspecting the interior of the bladder with the aid of a viewing telescope called a cystoscope to physically search for irregularities.
- Urodynamic testing: This testing is done by placing a short tube into the bladder or probing the bladder with X-rays to assess the bladder and urethral sphincter muscle structure.
Treatment for Urinary Incontinence in Men
Urinary incontinence treatment depends on the form, severity, and root cause of incontinence. By changing a couple of routines and doing workouts to improve the muscles that keep urine in the bladder, many men recover their urinary function. The patient will be recommended to take some drugs if certain behavioral therapies fail.
Surgery is the only suitable alternative in some situations. Your urology specialist will let you know all the possible treatment options that include:
- Bladder training- This helps to avoid urination after the patient experiences the need to urinate. The goal of this treatment is to extend the time lapse between your urge to urinate.
- Double voiding- This involves urinating followed by standing, and then trying it again for a few minutes. To prevent leakage incontinence, this is expected to make the patient aware of how to drain their bladder fully.
- Scheduled bathroom visits- This involves urinating every two or four hours daily rather than waiting for the need to go.
- Pelvic floor muscle workouts- This aim to strengthen the muscles that help regulate urination. These techniques, known as Kegel exercises, help strengthen weak pelvic muscles and enhance control of the bladder
Medicines can affect the control of the urinary bladder in many ways. By blocking irregular nerve impulses that make the bladder contract at the wrong time, some drugs help reduce incontinence, while others delay urine output and bladder relax. Owing to the medical condition of the patient, the urologist specialist will be able to choose the most appropriate form of the drug that is most suitable for you.
Certain surgical interventions can cure the complications inducing urinary incontinence if other therapies fail to manage symptoms.
Frequently Asked Questions
What is the best treatment for urinary incontinence?
Anticholinergics are one of the most recommended urinary incontinence drugs since they will relax the overactive bladder. Other long-term treatments include training for the bladder and exercises with Kegel.
Does Urinary Incontinence go away?
Yes, incontinence can be reduced completely depending on how quickly you find the treat the root cause of it. Patients with stress incontinence, for instance, experience issues only when they have a coughing, cold or when doing unnecessary exercises.
Leakage during cold weather is often identified by patients with urge incontinence and is often connected to nutritional factors such as excessive fluid intake, particularly items containing caffeine.
What are the symptoms of Urinary Incontinence?
Most of the people face small urinary leakage, while others most generally lose small to moderate quantities of urine.
What causes Urinary Incontinence?
Urinary incontinence is not only a symptom but a disorder. Medical disorders and daily activities may also contribute to urinary incontinence, along with urinary tract disorder or chronic conditions.
How can I prevent urinary Incontinence?
Incontinence of the urine is not necessarily preventable. To help reduce the chance, though:
- Holding a good weight
- Practice floor vaginal activities
- Stop irritants to the bladder such as caffeine, alcohol, and acidic foods
- Eat more fibre, which may reduce constipation, a source of urinary incontinence
Do not smoke or request assistance to stop smoking.
How urinary Incontinence is treated?
In the majority of cases, urinary incontinence may be treated or managed. Bladder preparation, Kegel exercises, some medicine, and catheterization can help treat incontinence. Non-pharmacological therapies or lifestyle modifications that help to cure urinary incontinence are Kegel stretches, bladder training, or a combination of these treatments.
Can urinary Incontinence be corrected?
In the majority of cases, urinary incontinence may be treated or managed. Bladder training can help to treat incontinence along with Kegel exercises, some prescriptions, and catheterization.
Should we drink less water or other fluids if suffering from urinary incontinence?
Many people with urinary incontinence believe they need to drink less, but this is not true. But for good health, you need fluids especially water. (But the bladder may get irritated or overwhelmed by alcohol and caffeine and cause urinary incontinence worse.
At what time after starting Kegel exercises will urinary incontinence get cured?
It may take 4 to 6 weeks before any change in the symptoms is seen. For each person, Kegel exercises function differently. You may see an increase in your symptoms but also have any bleeding, or you may not have any improvement at all. Your symptoms may go completely away. Yet Kegel exercises will help to keep your incontinence from getting worse even though your symptoms do not get better.