Methods to treat urinary incontinence in men

This is an automatically translated article.

The article is expertly consulted by Master, Doctor Le Phuc Lien - Urologist - Department of General Surgery - Vinmec Central Park International General Hospital. The doctor has more than 12 years of experience in the field of urology and specialized urology.

1. Cause

Urinary incontinence in men (also known as: urinary incontinence, urinary incontinence) is a condition in which urine leaks out of the bladder, making it difficult to control excretion. This is not a disease but a sign reflecting problems in the urinary tract that are common in men, especially older people.
A number of health and lifestyle problems can cause urinary incontinence in men, including:
Urinary tract infections; Bowel problems and conditions (such as constipation); Kidney or bladder stones; Urethral stricture ; Prostate problems: prostatitis, benign prostatic hypertrophy or prostate cancer, benign prostatic hyperplasia (BPH) blocking the passage of the urethra;

Certain neurological diseases can damage the nerves that send signals to the bladder, such as Parkinson's disease, Alzheimer's disease, stroke, multiple sclerosis. Medicines such as anti-allergic drugs, narcotics, diuretics, antidepressants, tranquilizers, cold medicines... Obesity or lack of exercise: putting body weight at risk As the bladder rises, the bladder is under a lot of pressure, causing the body to go to the toilet more, making it difficult to hold urine for a long time. Bowel surgery , lower back surgery or prostate surgery all have the potential to damage certain urinary tract nerves causing bladder problems and urinary incontinence . Due to age: like other muscles in the body, bladder muscles also weaken over time, thereby causing urinary incontinence.

2. Symptoms of urinary incontinence in men

Usually, urinary incontinence is often accompanied by the following symptoms:
Often the urge to urinate is difficult to control; Going to the toilet more often than usual; Often having to get up in the middle of the night to go to the bathroom; Leaking urine while sleeping; Small amount of urine is excreted when sneezing, coughing, laughing, lifting objects, changing positions, or doing anything that puts pressure on the bladder; Burning sensation when urinating. Urinary incontinence can be short-lived or long-lasting (chronic). Short-term urinary incontinence is often caused by health problems or treatments.

3. Treatment of urinary incontinence in men

The treatment for urinary incontinence in men depends on the type of incontinence you have and how it affects your life. Patients can take medication, perform light-intensity exercise, or a combination of both. A small number of people will need to undergo surgery.
3.1. Non-surgical treatment In many cases, urinary incontinence can be improved and controlled through lifestyle changes or maintaining a healthy lifestyle:
Don't smoke; Limit alcohol intake (no more than 1 drink/day); Limit consumption of caffeinated beverages (tea, coffee) and carbonated drinks (soda, soft drinks); Should maintain a healthy weight; Eat foods rich in fiber (vegetables, fruits) to prevent constipation; Schedule to use the restroom at a fixed time each day, wear clothes that are easy to take off, and avoid obstacles on the way to the toilet; When urinating, try to practice urinating twice. That is, try to excrete as much urine as possible, then relax, then continue urinating; Keep a toilet diary for easy monitoring of the time and symptoms of urinary incontinence, early identification of abnormalities, if any; If you have urinary incontinence, you should openly discuss it with your doctor because most cases can be cured. Exercise pelvic floor muscles with biofeedback 3.2. Surgical treatment: For patients who do not respond to the above therapies, surgery may need to be considered.
Injecting fillers into the urethral wall: For the purpose of increasing the urethral wall, increasing the urethral resistance. The fillers are usually Teflon, Collagen, Macropic particles and Silicon.

Artificial sphincter insertion (AUS): is a device that includes a cuff placed around the bladder neck or membranous urethra, a pump positioned in the scrotum that can be easily turned on and off, and a tank. Containers are connected by anti-twist pipes. Placement of the urethral sling: allows spontaneous disabling without manipulation and provides immediate effect (the AUS device must be turned off 4-6 weeks after implantation). Urinary incontinence is a common disease that causes discomfort and low self-esteem for patients, so it greatly affects the quality of life. However, this is a disease that can be completely overcome. Patients need to be examined as soon as detected to find the cause and have appropriate treatment for each cause.
To avoid this unnecessary nuisance, you should boldly discuss directly with a specialist about the symptoms of urinary incontinence you are experiencing for appropriate treatment and optimal results. At best, this inconvenience is completely eliminated.
Vinmec International General Hospital is a general hospital with the function of examining and treating kidney and urinary diseases. Currently, Vinmec Central Park Hospital has a pelvic floor exerciser with biofeedback that can treat urinary incontinence without surgery. At Vinmec, we have also performed endoscopic diagnosis and treatment with modern medical methods for urological diseases, which not only brings high efficiency but also minimizes complications of recurrent disease. The great success is because Vinmec is always fully equipped with modern facilities, examination and treatment procedures are carried out by a team of experienced and qualified doctors that will bring about treatment results. optimal for customers.

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