Urinary Incontinence -- Male
(Incontinence, Urinary; Incontinence, Stress; Incontinence, Urge; Incontinence, Overflow; Incontinence, Functional; Stress Incontinence; Urge Incontinence; Overflow Incontinence; Functional Incontinence; Overactive Bladder)
- Prostate enlargement
- Bladder that is blocked, such as by a scar in the urethra (stricture)
- Fecal impaction putting pressure on the urethra
- Drugs (such as antidepressants, hypnotics, antipsychotics, beta-blockers, antihistamines, calcium channel blockers)
- Vitamin B12 deficiency
- Weak bladder muscles
- Nerve damage
- Age: older than 65
- History of prostate surgery
- Prostate enlargement due to benign prostatic hyperplasia (BPH), infection, or prostate cancer
- Urinary tract infection
- Chronic lung disease
- Dementia (including Alzheimer’s disease)
- Multiple sclerosis
- Spinal cord injury or disease
Use of certain substances or medicines:
- Cholinergic agents
When Should I Call My Doctor?
- Stress test—you relax, and then cough as your doctor watches for loss of urine (this will confirm if you have stress incontinence)
- Urine tests
- Tests to explore problems with your prostate (such as a prostate exam or blood tests)
- Blood tests to detect diabetes
- Ultrasound—uses sound waves to examine structures inside the body to determine if any urine remains in your bladder after urinating
- Cystoscopy—a thin tube with a tiny camera is inserted into the urethra to view the urethra and bladder
- Urodynamic tests—used to measure the flow of urine and the pressure in the bladder
Making muscles stronger by doing
- These strengthen the muscles that hold the bladder in place and control urine flow.
- Painless electrical stimulation is sometimes used. It can strengthen the muscles more quickly. It is helpful for stress incontinence.
- Creating a regular schedule to empty your bladder (called bladder training). This training may also involve drinking fewer liquids
- Oxybutynin (Ditropan)
- Tolterodine (Detrol)
- Darifenacin (Enablex)
- Solifenacin (Vesicare)
- Fesoterodine (Toviaz)
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- Take care of your skin by gently cleaning yourself after an episode of incontinence. Let the skin air dry.
- Make it easier to get to the bathroom. For example, rearrange furniture and remove throw rugs. Add night-lights in the hallway and in the bathroom.
- If needed, keep a bedpan or urine canister handy in your bedroom.
- Reduce your intake of substances that lead to incontinence. These include caffeine, alcohol, and certain drugs.
- Lose weight.
- Avoid and treat constipation.
National Institute of Diabetes and Digestive and Kidney Diseases http://www.niddk.nih.gov
Urology Care Foundation http://www.urologyhealth.org
Canadian Nurse Continence Advisors http://www.cnca.ca
Health Canada http://www.hc-sc.gc.ca
Corcos J, Gajewski J, et al. Canadian Urological Association guidelines on urinary incontinence. Can J Urol. 2006;13:3127-3138.
Incontinence. American Urological Association Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=143. Updated January 2011. Accessed September 14, 2012.
Occhino J, Siegel S. Sacral nerve modulation in overactive bladder. Curr Urol Rep. 2010;11(5):348-352.
Prevention of incontinence. Continence Foundation website. Available at: http://www.continence-foundation.org.uk. Accessed September 14, 2012.
Subak L, Wing R, et al. Weight loss to treat urinary incontinence in overweight and obese women. N Engl J Med. 2009;360:481-490.
Urinary incontinence in men. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated June 29, 2012. Accessed September 14, 2012.
Urinary incontinence in men. National Kidney and Urologic Diseases Information Clearinghouse website. Available at: http://kidney.niddk.nih.gov/kudiseases/pubs/uimen/#treated. Published June 29, 2012. Accessed September 14, 2012.
Wein A, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Saunders, Elsevier; 2007.
Wein AJ, Rackley RR. Overactive bladder: a better understanding of pathophysiology, diagnosis, and management. J Urol. 2006;175:S5-10.
Yang C, Schwartz S, et al. A new, simple device to manage male urinary incontinence. International Continence Society website. Available at: http://www.icsoffice.org/publications/2005/pdf/0464.pdf. Accessed September 14, 2012.
12/3/2010 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Cardozo L, Khullar V, Wang JT, Guan Z, Sand PK. Fesoterodine in patients with overactive bladder syndrome: can the severity of baseline urgency urinary incontinence predict dosing requirement? BJU Int. 2010;106(6):816-821.
- Reviewer: Adrienne Carmack, MD
- Review Date: 09/2012 -
- Update Date: 00/92/2012 -