Causes of Urinary Incontinence
Urinary incontinence in men is often related to prostate problems or treatments. An enlarged prostate can push against the urethra, the tube through which urine leaves the body, causing problems with urination. Additionally, prostate removal might damage the sphincter, a muscle that controls the flow of urine.
The most common causes of urinary incontinence in men are:
- Benign prostatic hyperplasia (BPH), a noncancerous, age-related condition in which an overgrowth of prostate tissue obstructs the urethra
- Prostate cancer treatments, which can disrupt the way the bladder holds urine, reduce bladder capacity, or damage the nerves that help control bladder function
Other causes of urinary incontinence in men include:
- Bladder cancer
- Blockage in the urinary tract, such as bladder stones
- Certain foods or drinks that act as diuretics, increasing urine production, such as caffeine, alcohol, spicy foods, or citrus fruits
- Certain occupations, such as those that involve heavy lifting or exertion
- Dementia or other mental health issues that make it difficult to notice the urge to urinate
- Diuretic medications such as heart or blood pressure medications, muscle relaxants, or certain sedatives
- Diabetes
- Injuries to the urinary tract or to the nerves or muscles that control its organs
- Neurological conditions such as multiple sclerosis, spina bifida, or Parkinson’s disease
- Trauma to the pelvis
- Urinary tract infection
- Weakened pelvic floor muscles
Diagnosing Urinary Incontinence
Our urology specialists have extensive experience in evaluating symptoms to diagnose the specific type of incontinence. We begin with a thorough evaluation that includes a:
- Review of personal and family medical history
- Discussion of symptoms
- Physical exam
To confirm a diagnosis, we might recommend one or more additional tests, such as:
- Blood tests: Tests of a patient’s blood sample to check for signs of infection, kidney disease, or other problems
- Ultrasound: Imaging that uses sound waves to produce images inside the pelvic region of the urinary tract and other organs
- Urodynamic studies: Bladder function tests that measure bladder capacity, bladder pressure, urine flow, and amount of urine remaining in the bladder after urination
- Urinalysis: Test of a patient’s urine sample to check for blood, signs of infection, or other problems
- Urine culture: Test of a urine sample that determines the type of bacteria in an infection
- Cystoscopy: Procedure that inserts a lighted scope into the bladder to examine the urinary tract
Treatment for Urinary Incontinence
Our specialists design treatment plans that are customized to each patient’s individual needs. We typically begin treatment for urinary incontinence with conservative methods such as medication to improve bladder function. These medications include:
- Anticholinergics such as oxybutynin to relax bladder muscles
- Mirabegron to increase bladder storage and help empty the bladder more completely
- Botox® injections into the bladder to relax muscles
- Alpha blockers to relax bladder and prostate muscles to help empty the bladder
Other nonsurgical treatment methods for urinary incontinence include:
- Behavioral techniques: Fluid management and bladder training to delay urination (timed voiding) and empty the bladder more completely
- Lifestyle changes: Reducing fluid consumption, avoiding food and beverages that worsen incontinence, losing weight, and increasing physical activity
- Pelvic floor therapy: Kegel exercises and other techniques to strengthen pelvic floor muscles
- Biofeedback therapy: Devices that can be used along with Kegel exercises
- Condom catheter: External urinary catheter, worn like a condom, that collects urine as it drains out of the bladder
- Electrical stimulation: Temporary placement of small electrodes inside the rectum or on the skin to send tiny electrical pulses that contract and strengthen pelvic muscles
- Penile clamp, a device placed around the penis to prevent urine leakage
If surgery is needed, our skilled reconstructive urologists offer procedures such as:
- Sling surgery: Use of tissue from elsewhere in the body or synthetic material to create a support that helps keep the bladder neck closed
- Artificial urinary sphincter: An inflatable cuff can be placed around the bladder neck (where the bladder meets the urethra); the cuff is controlled by a pump located in the scrotum (men)