Incontinence in men

Urinary incontinence is a term that means an accidental loss of urine. The amount of urine lost can be a little or a lot. This problem is more common in women, but it can also happen to men. It can occur during sleep or daytime. Sometimes incontinence happens only when sneezing, laughing, or coughing.

Men are likely to have a problem with incontinence as they grow older. By age 65, five to fifteen percent experience incontinence.

Some of the causes of urinary incontinence include:

• weakness of the structures that support the bladder
• irritation of the bladder from tumors, stones, or other causes
• problems in the central nervous system
• nerve problems in the bladder from diabetes, spinal cord injury, or multiple sclerosis
• blockages, often due to prostate enlargement
• urinary tract infection and
• effects of medication

Because there are so many different causes for incontinence, an examination is needed to find the exact cause. There are good treatments for most men, depending upon the cause. Sometimes all it takes is a change in medication or treating the underlying problem. Other times, learning exercises to strengthen weak muscles will help.

There are many medications that can help, such as imipramine (Tofranil). Some men who have enlarged prostate glands may need surgery.

There are steps you can take to help control incontinence:

• Empty your bladder as soon as you begin to feel pressure.
• Put yourself on a schedule for emptying the bladder, such as every hour or 2 hours. Try to slowly increase this time to about every 3 hours.
• When you know you are going to have limited access to a bathroom, avoid drinks with alcohol or caffeine.
• Learn to wear the pads and undergarments designed for adults with urinary incontinence.

Many people may benefit from exercises known as Kegel exercises that strengthen the pelvic floor muscles. To do these, pretend that you are trying to stop from passing gas. Squeeze the muscles you would use. Hold for a count of 3. Relax for 3 counts and then repeat as many times as you are able. Practice the exercises while doing other things, such as watching television, riding in a car, or making a meal. Pelvic floor exercises, like most exercises, should be a lifelong practice.

With proper treatment, most men are able to increase the control of their bladders.

Last Reviewed 2005

Disclaimer: This content is reviewed periodically and is subject to change as new health information becomes available. The information provided is intended to be informative and educational and is not a replacement for professional medical evaluation, advice, diagnosis or treatment by a healthcare professional.

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