Urine Leakage in Men
Overview
Urine Leakage in Men or Urine Incontinence in men arises because of loss of bladder control. It is a common problem and very embarrassing at times. ย This problem occurs when the person turns old. But it is not a natural outcome of aging. The severity of urine leakage reaches at a point where the concerned person leaks urine at the time of coughing and sneezing.
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Urine incontinence in men means the patientโs bladder is unable to hold or release the urine the way it should do. It means the person leaks urine by accident. This could be due to following reasons:
- The brain is unable to direct the bladder correctly
- There may be a blockage in the urinary system
- The muscles around the bladder arenโt working well.
Causes of Male Incontinence
Urine Leakage in Men can arise due to medical conditions such as:
- overactive bladder (OAB)
- An enlarged prostate
- Diabetes (High Blood Sugar)
- Parkinson’s disease
- Some types of prostate surgery
Types of Urine incontinence
- Stress incontinence – Urine leaks when there is pressure exerted on the bladder by coughing, sneezing, etc.
- Urge incontinence
- Overflow incontinence
- Functional incontinence
- Mixed incontinence
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Diagnosis
Urinary incontinence is very easy to identify. The type of cause of the urine leakage in women is very difficult to determine and may require different tests and examinations.ย
- Urinalysis
- Blood tests
- Pelvic ultrasound
- Postvoid residual (PVR) measurement
- Stress test
- Urodynamic testing
- Cystogram
Treatment
Medications for urinary incontinence
The medications are used in combination with other techniques or exercises. The following medications are prescribed:
- Anticholinergics to calm down overactive bladders
- Topical estrogen
- Imipramine (Tofranil)- a tricyclic antidepressant.
Use of Medical Devices
- Urethral inserts
- Pessary
- Radiofrequency therapy
- Botox (botulinum toxin type A)
Surgery is an option if all other options are exhausted. Women expecting children should discuss surgical options with the doctor before going for it. Dr. Inthu M is a top-rated OB-Gyn, urogynecologist, and Laparoscopic surgeon in Chennai offering top-notch treatments for Urine Leakage in men. She is also a trained diabetologist.