Urinary incontinence is a common disorder affecting millions of people all over the world. Its prevalence is not limited to a particular gender or age since this problem occurs in women as well as in men in virtually equal proportion. Toddlers, young adults, middle-aged and the elderly may suffer from incontinence at one time or another.
Male urge incontinence is one of the several types of urinary problem that affects men over 50 who are suffering from neurological disorders like Parkinson’s disease, Multiple Sclerosis, meningitis and stroke. The person affected has an overactive bladder that contracts uncontrollably while responding to external stimuli like the sound of pouring rain or running water. This problem is aggravated by an enlarged prostate gland.
Although urinary incontinence may sound like a very serious problem, it is not completely irreversible. There are treatments available for the symptoms as well as for the cause of the dysfunction. At the onset of the symptoms consult your doctor and have him run a series of tests to determine the cause of the problem. If surgery is not necessary, the doctor may recommend the following intervention:
Control weight problem if the excess weight is causing the weakening of the pelvic floor muscles. Kegel exercises are muscle contractions designed to strengthen and improve muscle tone of the pelvic floor muscles. These muscles that cradle the bladder and other organs above it may become loose from repeated and prolonged straining.
Careful planning of the food intake and avoiding bladder irritants such as coffee, soda, alcohol, artificial fruit juices and spicy foods help in reducing bladder spasm and calm the detrusor muscles. Foods rich in fibre prevent constipation that also contributes to the weakening of the pelvic floor muscles.
Modification of Behavioural Patterns
Keeping a regular toilet habit will re-train the bladder to void at regular intervals. Regaining control of the pelvic floor muscles help in controlling accidental leakage. Delaying urination at the workplace will damage the bladder muscles over time. Overstaying urine in the bladder may cause urinary tract infections or cause the formation of kidney stones or renal calculi.
To calm erratic bladder muscle contractions, anti-depressants and anti-cholinergics are given to help in relaxing the overactive bladder muscles by enervating the wayward nerves and reduce the frequency of urination. However, these medications have side-effects and should be taken with caution. If nausea, vertigo, blurred vision and insomnia are experienced when taking these drugs, discontinue usage.
This treatment aims to trigger contraction of the pelvic floor muscles to promote muscle tone and improve closure of the urethra.
Minimal Surgical Intervention
Laparoscopic procedures aimed to clear the blockage caused by kidney stones and widen strictures in the urinary tracts caused by scarring from previous prostate problems. A urethral ring can be inserted through a small incision to provide additional closure capability of the urethral sphincter.
This procedure is used to add bulk around the urethral sphincter to improve closure capability. The silicone-based bulking agent such as Botox is injected around the urethral sphincter and repeated after several months. This is a temporary relief.
There is no need to disrupt the normal flow of your life even with incontinence. Urine leakage and dribbles can be managed discretely without resorting to withdrawal from your social circle or sports activities. There are many products available to help you deal with urinary incontinence.
Incontinence pads and pants, bed liners, chair pads and mattress protection covers are designed to absorb wetness and keep the skin dry. Incontinence briefs are a very convenient and practical solution to prevent embarrassing urine stains on clothing. For maximum leakage protection, use urinals that can be worn under the briefs.
Modern science will continue to discover effective treatments for male urge incontinence. The experiences shared by people suffering from this problem are a huge contribution to the research efforts that could bring about possible eradication of urinary incontinence in the near future.