Urinary Incontinence

Recently Answered

  • 3 Answers
    A
    There are several types of urinary incontinence in men. The most common forms are overflow, stress, urge and mixed.
    • Overflow incontinence, when small amounts of urine leak continuously, is common in men who have benign prostatic hyperplasia (BPH, or enlarged prostate).
    • Stress incontinence causes urine loss during activities that put pressure on the abdomen, such as coughing, sneezing, laughing or exercising.
    • Urge incontinence results in sudden, uncontrollable loss of urine and frequent urination.
    • Mixed incontinence causes symptoms of both stress and urge urinary incontinence.
    See All 3 Answers
  • 1 Answer
    A
    A Urology, answered on behalf of
    Stress incontinence in men is caused by increased abdominal pressure and weak muscles. They have involuntary leakage associated with increased abdominal pressure, and the external sphincter muscles are weak. The bladder gets pressure from the outside rather than the inside, and the man leaks urine.

    When men have stress incontinence, they usually lose control of their urine when they cough, sneeze or stand up. It generally occurs when they change their position. It's particularly bad when they are walking around.

    Stress urinary incontinence happens in women as well, but for different reasons than in men.
  • 1 Answer
    A
    A Urogynecology, answered on behalf of
    Dribbling of urine in women can be caused by the following factors:
    • overactive bladder muscles
    • weakened pelvic floor muscles and support
    • nerve damage that affects bladder control
    • interstitial cystitis (chronic bladder inflammation) or other bladder conditions
    • disability or limitation that makes it difficult to get to the toilet quickly
    • side effects from a prior surgery
    • inability to empty the bladder completely, which then overflows as new urine is produced
  • 1 Answer
    A
    A Urology, answered on behalf of
    Stress and urge incontinence are very different. With urge incontinence, you have unpredictable leakage. The bladder just squeezes, and you have an accident. A lot of patients who have urge incontinence will also have frequency (urinating or voiding more than eight times or more in 24 hours). Stress incontinence, on the other hand, is usually with activity such as running or jumping. Or you have a good laugh and all of a sudden, you have a little bit of leakage, spurts of urine.
     
  • 1 Answer
    A
    As men get older, their prostate can enlarge, causing urinary frequency to increase and leading to getting up at night more often. Urge incontinence often also occurs, which is when you’re suddenly compelled to urinate. Either type of incontinence can lead to leakage.

    An enlarged or inflamed prostate can also cause difficulty in urinating (interrupted stream).
  • 1 Answer
    A
    A Urology, answered on behalf of
    A variety of medical issues beyond surgical history can affect incontinence. As you age, for example, your spine can develop spurs that can pinch nerves that control the bladder. A minor stroke can affect the center of the brain that controls the bladder, creating overactivity. Stroke, multiple sclerosis, diabetes and Parkinson’s disease can also affect bladder function.
     
  • 1 Answer
    A
    A Urology, answered on behalf of
    Previous surgeries do affect incontinence. Hysterectomy and prostate surgery may play a role; changed bowel habits may as well. If you’re constipated, for example, then the stool is going to occupy space, and it’s going to affect your bladder function. Sometimes getting on top of a bowel regimen improves bladder function as well.
     
  • 1 Answer
    A
    What Is Dribbling Between Urination a Sign of?
    Learn why dribbling between urination can be a symptom of a serious prostate disorder. Watch this video with urologist Kyle Himsl, MD.
  • 1 Answer
    A
    A Urology, answered on behalf of
    While incontinence will not shorten your life span, it does have risks. People over the age of 65 with weak bones who are rushing to the bathroom could slip and fall, for example. Incontinence is also associated with depression, which may be caused by embarrassment about your condition. Further, if incontinence limits how much you get out in day-to-day life and enjoy social activities, it may cause depression as well. Cost is another factor, from diagnostic costs and treatments to pads and additional underwear. These are not inexpensive items.
     
  • 5 Answers
    A
    A , Urology, answered
    The prostate sits between the bladder and the urethra and urine actually passes through the prostate on its journey from the bladder to the penis (ie, penile urethra). Think of the prostate (or prostatic part of the urethra) as a tunnel that connects New Jersey and Manhattan. If you remove part of the tunnel, you have to reconnect the two sides and build a new makeshift tunnel. As tissue is healing from this type of surgery and the muscles that control the flow of urine are recovering, men will often suffer from incontinence.   
    See All 5 Answers