Urinary Incontinence in Men

 

While it is common to have changes in bladder function with enlargement of the prostate it is important to understand not all changes in bladder function are a result of this. There are often lots that can be done to change these symptoms. 

For some men, the chance of embarrassment keeps them from enjoying many activities including exercising and causes emotional distress. When people are inactive they increase their chances of developing other health problems such as obesity and diabetes. 

Why is this occurring?

  • Weak Pelvic Floor muscles
  • Postate Enlargement
  • Prostate Surgery
  • Chronic coughing
  • Neurological problems
  • Physical inactivity
  • Obesity
  • Older age
  • Caffeine/ Alcohol Intake
  • Constipation/ Straining

What are the signs and symptoms?

  • Leaking urine when you cough, sneeze, lift, laugh or exercise
  • Feeling an urgent need to empty your bladder which may be associated with triggers such as key in the door, running water
  • Urine leakage after going to the toilet
  • Feeling of incomplete emptying of the bladder
  • Increased frequency of urination
  • Difficulty starting flow/ poor flow rate
  • Repeatedly getting up to urinate at night

How can we help?

First line treatment for urinary incontinence is a supervised pelvic floor program which has been shown to significantly reduce bladder leakage.

A comprehensive analysis of your bladder habits including frequency/ intake/ output and urge sensitivity ensures that bladder training is individualised for your condition. General advice of just try an “hold on” is often not useful and in some cases can be detrimental.

Assessment of bowel function is essential in ensuring every aspect of your problem is being addressed.