Can Prostate Problems Cause Incontinence
Prostate problems include prostate enlargement , prostatitis and prostate cancer. These issues involve the prostate being enlarged or inflamed which can sometimes cause incontinence. If you require surgery or radiation therapy on your prostate, this can also result in issues with incontinence, although these may be temporary.
How Is Bph Treated
In some cases, in particular where symptoms are mild, BPH requires no treatment. At the opposite extreme, some men require immediate intervention if they cannot urinate at all or if kidney/bladder damage has occurred. When treatment is necessary, many men will simply require daily medication. If this fails to completely treat the symptoms, or if there are signs of damage from BPH, the doctor may recommend minimally invasive endoscopic surgery . Or, in some cases, traditional surgery may be recommended.
- Drug treatment: The FDA has approved several drugs to relieve common symptoms associated with an enlarged prostate, including drugs that inhibit the production of the hormone DHT and drugs that relax the smooth muscle of the prostate and bladder neck to improve urine flow.
For surgery, there are many procedures to choose from, and the choice depends largely on your specific prostate anatomy, and surgeon preference and training. These procedures all have a common goal of widening the urethral channel as it passes through the prostate. Procedures include the following:
Urinary Incontinence In Men: Facts You Need To Know
Urinary incontinence in men? Thats right incontinence isnt just restricted to women men can suffer from accidental leakage of urine too! With cases of an enlarged prostate and prostate surgery on the increase, male incontinence has become commonplace.
Lets look at the numbers. As of this day, a whopping over 20 million Americans are struggling with some degree of incontinence. What will shock you, though, is that men account for about 20% of all these cases. That doesnt seem like a women-only problem anymore, does it? But, that isnt all.Beside prostate conditions, other causes can play a vital role in incontinence in men. Sadly, not many men are informed about these issues, with most male patients facing insurmountable challenges socially, emotionally, and physically when diagnosed.
Herein, I will walk you through some glowing facts about incontinence in men that everyone should know. They are poised to convince even the most grounded fellow to be aware of this unfortunate condition. Read on.
Incontinence After Prostate Surgery Forums
Going through prostate cancer and having your prostate removed can be a physically and emotionally trying time in life. Many men are unprepared for the extent to which they may experience bladder leaks after prostate removal and it can be disheartening to have undergone surgery only to experience a loss of bladder control for a period afterward.
Fortunately, this is usually resolved within a year. During that time though, you may find that you need someone to talk to about your experience. Finding a forum or message board filled with people who can relate can help ease some of the tensions that you may be going through.
The NAFC message boards are a great way to connect with others who may also be experiencing incontinence, due to prostate surgery or other conditions. Theyre free to join and the forum is anonymous so you can speak freely without the worry of feeling embarrassed or ashamed. NAFC is proud of this amazing group of individuals who visit the forums and courageously share their stories, offer support, and provide inspiration to each other. We encourage you to check it out!
What To Do About Incontinence
The first step is to locate a health care provider, such as a urologist, who is interested in and well-informed about treating incontinence. He or she will want to become familiar with your medical history and the way in which incontinence affects you. Be sure to come prepared for your visit with: a list of all the medications you are currently taking, including those you purchase without a prescription the dates and outcomes of any bladder-related tests or surgical procedures you may have had and a bladder diary.
If you are seeking products to help with incontinence, click below to visit the Urology Health Store.
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There Are Four Kinds Of Male Incontinence
Stress Incontinence: I have mentioned this sort of incontinence earlier. Stress incontinence occurs when the bladder is under stress when you lift heavy items, sneeze, cough vigorously, and so forth.
Urge Incontinence: This occurs when the bladder constricts under abnormal circumstances. When the urge is too much, you are bound to urinate.Mixed Incontinence: This is simply a combination of the two: urge and stress incontinence. Needless to say, a patient with this condition will leak more urine, frequently.
Overflow Incontinence: Its characterized by urinary retention, a condition whereby the bladder cannot empty its content entirely. Research is yet to yield leading causes of urinary retention. When the bladder is too full, then you experience a leakage.
Treatment For Urinary Problems
If your urinary problems are caused by infection or enlargement of the prostate gland, treatment may include:
- a long course of antibacterial medication because infection is difficult to get rid of, the antibacterial medication will need to be taken for many weeks
- medication to improve urine flow and other symptoms
- surgical procedures the type of surgery required depends on the size of the prostate and the condition of the urethra. Types of procedures include:
- transurethral resection of the prostate
- transurethral incision of the prostate
- laser resection of the prostate
- open surgery prostatectomy
- removal of prostate tissue using water jets or steam
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Etiology And Risk Factors
Multiple factors, including age-related physiological changes, may result in or contribute to the various syndromes of UI. Both genitourinary and non-genitourinary factors may contribute to incontinence in aging patients. Age-related functional changes in the urinary tract may contribute to UI. In women, risk factors for these genitourinary changes include multiple or complex vaginal deliveries, high infant birth weight, a history of hysterectomy, and physiological changes related to the transition to postmenopause. Smoking, a high body mass index, and constipation are also associated with an increased risk of UI.
Pathophysiological causes of UI include lesions in higher micturition centers, in the sacral spinal cord, and in other neurological areas as well. UI may also be associated with numerous comorbidities, such as Parkinsons disease, Alzheimers disease, cerebrovascular disease, diabetes, hypertension, obstructive sleep apnea, and normal-pressure hydrocephalus. Functional factors, including mobility and dexterity, along with reaction time and lack of access to a bathroom facility, may also contribute to UI.
Urinary Incontinence In Men
Uncontrollable urination or urinary incontinence occurs in eleven to 34 percent of older men, but it is not just an age-related issue. Younger men can also experience incontinence due to health problems. Urinary incontinence also happens to women, but the biggest issue with incontinence in men is that they are less likely to speak with their doctors about it. This means that the statistics for men could actually be much higher in men that the current numbers indicate. Discussing the problem is the first step towards addressing the symptoms and finding a treatment.
Urinary incontinence often results in the accidental leakage of urine from the body, so it can be uncomfortable and inconvenient. A man can feel a strong, sudden need to urinate just before losing a large amount of urine. Doctors refer to this as urgency incontinence. For some people, this condition keeps them from enjoying certain activities, including sports and exercise. It can also cause a lot of emotional distress as well.
There are different types of urinary incontinence. The types of urinary incontinence men can experience include urgency incontinence, stress incontinence, functional incontinence, overflow urinary incontinence, and transient urinary incontinence.
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I Have An Enlarged Prostate How Does This Affect Incontinence
For men, an enlarged prostate is a common cause of incontinence. As men age, the risk of developing an enlarged prostate, also known as Benign Prostatic Hyperplasia , and Prostate Cancer increases. Warning signs of BPH and Prostate Cancer include urinary symptoms. Pay attention to changes in the frequency of urination, especially at night, and hesitancy and dribbling during urination. Men over 40 with increased risk of developing these conditions should schedule annual prostate exams. Risk factors include family history and a diet that is low in fiber, but high in fat and red meat. Additionally, African Americans are typically at higher risk.
The good news: an enlarged prostate can be treated with a variety of medications and surgery. If you experience urinary incontinence or changes in urination, consult your doctor or healthcare provider as soon as possible. You’ll want to discuss your symptoms and treatment options, which may include:
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Why Do Prostate Cancer Treatments Cause Urinary Incontinence
It helps to know a bit about how the bladder holds urine. When urine is emptied into the bladder from the kidneys, it is stored inside the bladder until you have the urge to urinate. The bladder is a hollow, muscular, balloon-shaped organ. Urine flows out of the bladder, and leaves the body through a tube called the urethra. Urination happens when the muscles in the wall of the bladder contract, forcing urine out of the bladder. At the same time, muscles that surround the urethra relax and allow the flow of urine. The prostate gland surrounds the urethra. Because an enlarged prostate gland can obstruct the urethra, it can cause urination retention or other problems with urination.
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Removing the prostate through surgery or destroying it through radiation can disrupt the way the bladder holds urine and can result in urine leakage. Radiation can decrease the capacity of the bladder and cause spasms that force urine out. Surgery can, at times, damage the nerves that help control bladder function.
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Symptoms Of Overactive Bladder
A few symptoms might indicate that you have OAB:
- When you feel the urge to urinate, you may also leak a small amount of urine. This is called urge incontinence.
- You have to use the bathroom more often than you normally do or more than eight times in 24 hours.
- You need to urinate more than once during the night in the absence of contributing factors such as caffeine, alcohol, or excessive fluid intake at night. This is called nocturia.
How Common Is Benign Prostatic Hyperplasia
Benign prostatic hyperplasia is the most common prostate problem for men older than age 50. In 2010, as many as 14 million men in the United States had lower urinary tract symptoms suggestive of benign prostatic hyperplasia.1 Although benign prostatic hyperplasia rarely causes symptoms before age 40, the occurrence and symptoms increase with age. Benign prostatic hyperplasia affects about 50 percent of men between the ages of 51 and 60 and up to 90 percent of men older than 80.2
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What Is Urinary Incontinence And How Is It Related To Prostate Cancer Surgery
If youve had prostate cancer surgery, you might experience stress incontinence, which means you might leak urine when you cough, sneeze or lift something that is heavy. This happens because of stress or pressure on the bladder. There is also a type of incontinence that is called urge incontinence. When this happens, you are hit with a sudden need to urinate right away and have leakage before you can make it to the bathroom.
Why Does An Enlarged Prostate Cause Incontinence
An enlarged prostate begins to squeeze the urethra and when this happens you might find you have difficulty passing urine. You may also need to go to the bathroom more often during the day and/or night. And because your bladder has difficulty squeezing urine out, it seldom is able to empty completely, meaning it takes a shorter time to fill up, causing frequency issues.
Further, over time, other symptoms can start to occur. Due to the extra work the bladder has to do, the bladder muscle wall can become thicker and less flexible, making it overactive and irritable. This can cause urgency incontinence and nocturnal enuresis. . And enlarged prostate itself can also contain more muscle tissue than previously and any muscles can sometimes contract involuntarily as a result of cold or nervousness. This increases the difficulty of passing urine.
Finally, surgery to ease the narrowing of the urethra may not immediately stop the feeling of urge incontinence. In fact, urgency could get worse for a while until the bladder goes back to normal. This may take a few weeks.
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Treatments For Male Urinary Incontinence
There are a number of treatment approaches for urinary incontinence to improve bladder control for men, depending on how severe it is and its underlying cause. A combination of treatments might be necessary. There are several categories of medications to treat overactive bladder and relax the bladder muscles and medications for men with incontinence caused by an enlarged prostate. Neuromodulation techniques include percutaneous tibial nerve stimulation, Botox injections in the bladder, and Interstim implantation. When indicated, surgical procedures are available to help alleviate incontinence issues.
Common Causes Of Male Incontinence
If you have urinary incontinence, you may find yourself running to the bathroom multiple times a day and barely making it in time. Or, you might not be able to get a full nights sleep because you keep waking up to head to the head. Or, you leak urine when you laugh or cough.
Men can have more than one type of urinary incontinence. Types include:
- Stress incontinence – leaking when you cough or laugh
- Urge incontinence cant make it to the toilet in time
- Overflow incontinence cant fully empty bladder, which then leaks
- Total incontinence always leaking urine
You might also have something called functional incontinence, which means that some physical impediment, such as a disability, prevents you from reaching the toilet in time.
No matter which type of urinary incontinence you have, you shouldnt have to suffer. Alex Lesani, MD, a caring and expert urologist, diagnoses and treats urinary incontinence in men at his clinic in Las Vegas, Nevada. Here are some of the reasons why you may be struggling with urinary incontinence, and what you can do about it.
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Enlarged Prostate And Incontinence
However, to properly treat and help the nearly 3 million American men with prostate cancer , we need to discuss urinary incontinence and how to manage it.
We get it, no man wants to deal with an enlarged prostate or go through prostate surgery. But with a little information and help from your doctor, recovery can be a lot smoother. Since 1 in 9 men will be diagnosed with prostate cancer, it is worth knowing the risk, the treatment, and the outcomes of prostate surgery!
Urinary Incontinence After Prostate Surgery: Everything You Need To Know
Undergoing a prostatectomy can be difficult. And for many men, finding that they are incontinent post surgery may come as a shock.
But rest assured that there are many treatments available to manage incontinence treatment after surgery. Read below for some of the most common questions we receive about incontinence after prostate surgery.
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Diagnosis Of Enlarged Prostate Gland And Urinary Problems
If you are troubled by urination problems, see a doctor no matter what your age. If your doctor agrees that your symptoms need further evaluation and treatment, you may need to undergo a few tests.These may include:
- general examination medical history and review of any health conditions including obesity, diabetes, obstructive sleep apnoea, depression and erectile dysfunction. A rectal examination may be done to check the size and shape of your prostate gland
- a urine check to ensure the prostate is not infected
- a flow-rate check to estimate the speed with which you pass urine
- an ultrasound examination to assess if the bladder is emptying completely and to examine your kidneys
- urodynamics a series of tests on the bladder to see how your urinary system is functioning may be recommended in some circumstances.
What Is The Prostate’s Role In Urination
When urine is emptied into the bladder from the kidneys, it’s kept inside the body by a couple of valves that stay closed until your body tells them to open when you urinate.
If youve had your prostate completely removed, youve had a surgery called radical prostatectomy. Along with the prostate gland, the surgeon has to remove one of the valves outside the prostate that open and close to let urine out or keep it in. Usually having one working valve is enough, but there might also be also be some effect on the nerves and muscles in the area from the surgery that allows urine to leak. Approximately 6% to 8% of men who’ve had surgery to remove their prostates will develop urinary incontinence.
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