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  • Treatment

    Treatment Plans for Male Incontinence

     

    Treatment of Urinary Incontinence

     

    There are many different types of urinary incontinence, and each type responds differently to treatment. For this reason, it is important that a correct diagnosis be made before beginning therapy.

    Treatment of Urge Incontinence

     

    Once your physician has diagnosed your urge incontinence, then certain treatment plans are most appropriate. Some common therapies are listed below.

     

     

    Treatment of Stress Incontinence

     

    Stress incontinence occurs when the sphincter muscle is not closing tightly enough around the urethra. Urine is then able to leak out more easily. Leakage occurs particularly when abdominal pressures rise such as with a cough, sneeze, or laugh. The most common treatments for male and female stress incontinence focus on improving the resistance in the urethra, so that it is more difficult or impossible for urine to leak. Since men and women have different urologic anatomies, their treatments for stress incontinence also differ.

     

    Female Stress Incontinence


    Male Stress Incontinence


    Treatment of Mixed Incontinence

     

    After diagnosing your mixed incontinence, your urologist will identify and treat the symptoms that are causing you the most trouble. The treatments available for mixed incontinence are the same as those available for stress incontinence and urge incontinence.

     

    Treatment of Overflow Incontinence

     

    The treatments for overflow incontinence depend on the cause of the leakage. Overflow incontinence can occur for two reasons – either an obstruction blocks the outflow of urine from the bladder or the bladder loses its ability to squeeze properly. In either case, urine builds up in the bladder and intervention is absolutely required in order to protect the future health of the kidneys.

     

    When an obstruction blocks the outflow of urine from the bladder:When the bladder loses its contractile power and can no longer squeeze:
    • A catheter may be temporarily or permanently used to empty the bladder.
    • Blockages caused by an enlarged prostate may occasionally improve with medications.
    • The only way to resolve the problem permanently is to remove the obstruction so that urine can flow normally again.
    • Most of the time, blockages must be treated surgically.
    • A catheter must be used to drain the bladder.
    • Several options exist for those who need a catheter to empty their bladders:
          Indwelling transurethral Foley catheter
          Indwelling suprapubic tube
          Intermittent catheterization of the urethra
          Intermittent catheterization of another     channel