Urinary incontinence is an unintended flow of urine. It’s not a disease. It’s a problem mostly with men in their urinary tract. Incontinence means a lack of voluntary control over urination.
Urine is made by the kidney and is stored in a sack-like muscle called the urinary bladder. Further urine flows from the bladder to outside the body through the prostate and penis with the help of a tube (Urethra) having rings of muscles around it called Urinary Sphincter.
As the bladder fills with urine the nerve cells signal the urinary sphincter to squeeze forcing urine out of the body through the urethra. As the bladder squeezes, the urethra relaxes which is a condition of the flow of urine.
Now after getting familiar with the terminologies, let’s get to the point.
Urinary incontinence can happen in any of the following conditions, If:
- Bladder squeezes too hard or at the wrong time.
- The urinary sphincter is damaged or weak.
- If something is blocking your Urethra.
It generally happens in older age as the muscles become loose which leads to weak response to the process of contraction and relaxation of muscles.
For proper functioning of the urinary system, it is important for muscles and nerves to work together in an ideal manner.
Nerve Problems: Any disease or injury which leads to damages of nerves comes under Nerve problems and such problems occur at any age.
Overactive bladder is one example of a nerve problem in which the bladder squeezes at the wrong time. A person suffering from such a problem may have the following symptoms:-
- Urinating nine or more times a day or even at night.
- The uncertain sudden need for Urination.
- Urine leakage that follows a strong urge of urination.
BPH: It is a condition in which prostate glands commonly gets enlarged with the age in men and is called Benign Prostatic Hyperplasia(BPH)
As the prostate enlarges urethra squeezes which affect the urine flow.
The symptoms may vary, but commonly hesitant, interrupted, weak stream or frequently urinating especially at night.
Here is some surgery which is done to cure urinary incontinence:
Radical prostatectomy: The removal of the entire prostate gland through surgery is called radical prostatectomy. It is also done to cure prostate cancer. Such surgery may also lead to erection problems.
Artificial Sphincter: It is the surgical implantation of an artificial device in the treatment for male urinary incontinence. It consists of three parts:
- Cuff: An artificial device(sphincter) surgically placed around urethra.
- Saline reservoir: Pressure regulated balloon inserted into the belly.
- Pump: A part of an artificial sphincter used to pump fluid from cuff to saline reservoir.
The artificial sphincter is filled with fluid which keeps the urethra closed preventing leakage. The pump is used to regulate the fluid-filled in the cuff to the reservoir allowing the urethra to open and automatically refills the cuff in 1-3 minutes completing one urination.
Such surgeries are most effective as 7 out of 10 men managed to improve their urinary control. Results may vary in men with the bladder condition and scar tissues in the urethra.
Male Sling for Urinary Incontinence: It is a surgical process of placing tapes around the urethra bulb, compressing and moving it into a better position. This helps many men with mild and moderate urinary incontinence to overcome urinary incontinence issues.
Urinary incontinence is a fairly common and inconvenient condition that men face as they age. Depending on the underlying condition, urinary incontinence can be cured. Here are some of the most common types of urinary incontinence:
Overflow Incontinence: It is the most common type of urinary incontinence in men which is a consequence of nerve blockage or overflow. In this condition, the bladder fills up with too much urine causing leakage and a constant urge to void problems, such as prostate problems, inflammation or neurological damage.
Urge Incontinence: It is a condition of bladder overactive where signals are interrupted between bladder muscles and brain causing a sudden overwhelming urge to urinate.
Stress Incontinence: Such type of urinary incontinence in men is caused due to uncertain physical exertion such as coughing, sneezing, exercising, heavy weight lifting. These physical activities weaken the pelvic floor muscles, causing leakage.
Mixed Incontinence: It is the combination of both stress incontinence and urge incontinence but only one of them will be dominating. In such cases, it is important to recognize and fix the dominating incontinence.
Treatment for urinary incontinence depends on the cause of the problem. The treatment plan includes the following things:
Fluid management: It is recommended that instead of drinking a large amount of water often, drink a small amount of water at a regular interval of time. Timing plays a vital role in terms of diet, therefore taking a small amount of food and drinks regularly are much beneficial as compare to having heavy food and drink irregularly.
Pelvic floor muscle strengthening: These exercises help in strengthening muscles in the pelvis and urinary tract system.
As precautions are better than cure, keeping in mind about the urinary incontinence certain physical activities should be inculcated, such as:-
- A person should remain physically active as it reduces weight, prevent constipation and therefore reduces pressure on the bladder
- Caffeine and alcohol can stimulate your bladder
- No smoking
Medicines: The doctor may prescribe you with the following medications:
- Antimuscarinics, such as oxybutynin and tolterodine
- Beta-3 agonists
- Bets -3 adrenergic receptor stimulators
- Tricycle antidepressants
Doctors may also prescribe another type of medicine to men with urinary incontinence along with prostate enlargement:-
- 5-alpha reductase inhibitors
Tags: Male Incontinence Treatment, Urge Incontinence In Men, Urinary Incontinence Medication