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Incontinence In Men: Treatment Options

Function of the brain and bladder

Diagnosing Incontinence in Men

Doctors might recommend that a journal of each trip to the bathroom, which could include such information as the severity of the urge to urinate, and the actual amount released. The doctor also might take an ultrasound of the bladder and urethra to make sure there aren’t any underlying structural defects that could be contributing to the condition. The physician might perform a physical examination along with urodynamic testing, which examines how long it takes fluid to reach the bladder, how much fluid the bladder can hold, and how long it takes to be released.

Incontinence in Men Treatments

As with female incontinence sufferers, kegel exercises are recommended to help strengthen the pelvic and urinary muscles. Numerous medications help relax the muscle in the wall of the bladder, eliminating the feeling of urgency. If the condition is more serious, the doctor might recommend an artificial sphincter, which prohibits the release of urine until it is desired.
When it is time to urinate, the patient simply squeezes an implanted pump in the scrotum to deflate the cuff that is implanted around the urethra, so that urine may begin to flow through the urethra. The pump will close on its own after urination is complete. The cuff will prevent urine from leaking after urination is finished. This procedure will not help men whose problem is caused by muscle spasms or overactive bladder, and other treatment options should be discussed with a physician.

Alternatively, the doctor might implant a male sling, which provides support for the urethra until it is time to urinate. This procedure secures the urethra to the pelvic bone and eliminates leakage of urine until it is so desired.

Biofeedback is a process known as mind-body therapy, and employs the idea that thoughts and feelings can control symptoms, and the overall health of the body. Through working with special scientific equipment, a physician can train patients to positively affect blood pressure, heart rate, and responses such as sweating. If successful, biofeedback can eliminate the need for medication or painful medical procedures, and can add to overall quality of life. Among the many conditions that can be treated by biofeedback is incontinence. It is considered very safe, because it will not interfere with any medications. However, it is not recommended for patients suffering from certain mental health conditions.

Typical biofeedback sessions will last between 30 and 60 minutes, but can vary in length depending on how quickly physical responses can be controlled. Electrical sensors attached to the body will record physiological functions as well as responses to stress. The machine will indicate responses via a beeping noise or flashing light, in order to associate a response with physical functions. By becoming alerted to these physical signs, patients can train themselves to “undo” them when they occur, by relaxing certain muscles or by changing breathing patterns.