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Male incontinence


Male Incontinence

It often happens that in elderly men all kinds of ailments begin to develop, the result of which is a violation of urination (miction). urinary incontinence in men is characterized by the involuntary release of urine. This pathological condition negatively affects life, delivers severe discomfort. Why it occurs in older men, how to deal with it, it is recommended to understand in more detail.



Classification of violations in mictions


Incontinence in older men is divided into the following types:



  • Stress is characterized by involuntary excretion of urine;
  • Urgent - copious excretion of urine in parallel with the urge to urinate;
  • Enuresis - bedwetting in men.
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    Depending on the duration of the development of problems in urination, subspecies are also distinguished: systematic involuntary excretion of urine in the same amounts, remission and relapse, long-term absence of the disease. Nocturnal urination disorders can be congenital or acquired (arising under the influence of adverse circumstances).



    Reasons


    The causes and treatment of this pathological condition are closely related. Because in order to normalize the urinary function, it is important to eliminate the provoking factor. And only after that start the fight against enuresis in men of advanced or young age.


    The main provoking factors for the development of bedwetting include: dysfunctions in the activity of the prostate, pathologies in the work of those parts of the brain or spinal cord that control the processes of urination in the organs of the genitourinary and urinary system, neurological diseases, age-related changes in the urogenital area (senile enuresis). Only a specialist after a preliminary examination should treat this ailment in men.



    Clinical manifestations


    With urinary incontinence, the following clinical signs appear: too frequent urge to urinate, gradually increasing portions of urine that are excreted on their own, pain in the lower abdomen and in the organs of the urinary system, blood fluid impurities, hyperthermia and weakness.


    Treatment should be carried out on time, it is important to contact a qualified specialist, it is unacceptable to use any methods on your own so as not to aggravate the condition.



    Diagnosis


    In enuresis, it is important to determine the cause of the onset of the disease. Only then are any medications prescribed. The main diagnostic measures include: fluoroscopy, ultrasound, general examination by a doctor, palpation of the prostate gland, accounting for the amount of biological fluid released.


    In addition, endoscopic examination, as well as urodynamia for medical reasons, may be prescribed. Only after a full examination, you can start treatment, take pills or other medications. Self-treatment with folk remedies is unacceptable, since an unexplained cause can aggravate the condition.



    Treatment


    Different methods are prescribed by the doctor to combat pathology. The basis of treatment is the appointment of special drugs. With the ineffectiveness of conservative therapy, the doctor considers the feasibility of radical methods of treatment. All funds are selected individually in each specific situation.


    The basis of successful treatment is lifestyle correction.


    It is important to exclude smoking, since harmful substances adversely affect the condition of internal organs, including the genitourinary system. If it is not possible to immediately eliminate a bad habit, it is recommended to do it gradually, reducing the number of smoked units per day.


    Rejection of ethanol-containing drinks is also an important condition for a successful recovery. Alcohol negatively affects the activity of the prostate gland, causes a recurrence of chronic inflammatory processes. Also, the simultaneous use of drugs for enuresis and alcoholic beverages is unacceptable. This is fraught with exacerbation of the disease and difficulties in further therapy.


    It is important to monitor your physical condition. Moderate sports training is recommended - exercise bike, swimming, running, gymnastics. Additionally, do exercises in the morning, run. This is important in order to exclude congestion in the pelvic organs, which in the future can provoke the development of inflammatory processes and the consequences of such dysfunctions.


    Successful therapy requires proper sleep. It must last at least eight hours. Important is the regime - go to bed at the same time. Waking up should also be at the same time. If work activity involves constant sitting, it is recommended to take a break every hour.



    Balanced diet


    Correction of the diet is an important factor in successful therapy. The menu should consist of a large number of dishes and foods with a high fiber content. Introduce a lot of fresh vegetables and fruits, cereal cereals.


    Thanks to such nutrition, it is possible to prevent difficulties with bowel movements, and this is a good prevention of the development of enuresis and prostatitis. It is also recommended to exclude from the menu those dishes that are irritants of the walls and mucous membrane of the urea. These include spicy, sour, spicy, fatty foods, caffeinated and carbonated drinks.



    Muscle training


    Kegel exercises for men are an excellent way to complement the complex treatment of enuresis. Thanks to such training, there is an increase in the tone of the organ, the function of separating the biological fluid is being established. One of the most effective ways to restore the genitourinary system is Kegel exercises. Doctors prescribe this method as an addition to conservative treatment.


    The essence of the method is to hold the sphincter muscles in the process of micturition. This is how the muscular apparatus of the rectum and the entire small pelvis is trained. It is also recommended to hold the jet for a few seconds while emptying the bladder.



    Using medication


    It must be remembered that any medications should be prescribed only by a specialist after a preliminary examination. Self-treatment with folk remedies is unacceptable. Only the doctor decides how and with what to treat the disease. A common remedy for enuresis is an alpha-blocker (pyrroxane, artesin and their analogues). Such drugs help to normalize the activity of the prostate, regulate the release of fluid from the bladder, improve the outflow of urine, and support men's health.


    Another popular treatment is antispasmodics. They are used to eliminate soreness and to reduce the muscular apparatus of the urea. Thanks to inhibitors of 5-alpha reductase, the amount of involuntary fluid is reduced. Treatment with folk remedies is used only as directed by a doctor and in the presence of an inflammatory process in the genitourinary system.



    Radical methods of therapy


    If the methods of conservative therapy are ineffective, the doctor considers the advisability of using surgical treatment. There are several methods of surgical intervention. A ring is inserted into the bladder valve. Thanks to him, uncontrolled excretion of urine is eliminated. The introduction of collagen may also be prescribed.


    Such procedures are prescribed if the cause of the violation was an operation to remove tumors in the pelvic organs. But this method is not always effective. Another radical treatment option is sling surgery. This method is the most efficient. It involves the introduction of a polypropylene loop into the back wall of the urethra, due to which the uncontrolled release of fluid stops.