Causes and treatments for male urinary incontinence

Involuntary passing of urine, even in small amounts without effort, should alert. Urinary incontinence in men is not a pathology, but rather a symptom or enuresis, the cause of many different diseases in the body. This is a common problem in men after 55 years of age due to problems with the genitourinary system or psychological disorders. If left untreated, then, as a result, personality degradation and mental disorder may occur. It is important to identify in a timely manner why urinary incontinence manifests itself in men, what are the reasons and treatment for more adequate, rapid therapy.

Classification

Urinary incontinence varies in duration and duration.

Divided into short-term or chronic:

In both cases, involuntary urge to go to the toilet appears, urine begins to drain at the moment of coughing, laughing, sneezing, changing body position.

According to the classification, enuresis happens:

• stressful if the sphincter is not functioning properly;
• urgent on the background of an inflammatory course or hyperactivity in the bladder;
• postoperative with the occurrence after surgery with a weakening of the muscular apparatus;
• transient against a background of neurological disease or intoxication of the body;
• mixed, as a combination of urgent and stressful enuresis.

Why is it happening?

The causes of urinary incontinence in men can be different:

• brain injury;
• diseases of internal organs;
• insufficient bladder support;
• damage to the sphincter;
• overlapping of the prostate gland against the background of blockage of the urethra;
• prostate problems;
• abuse of certain medications (drugs, weight loss);
• diabetes mellitus, diabetic angiopathy;
• overactive bladder with frequent contractions of smooth muscles;
• diseases of the heart, brain;
• brain stroke;
• Parkinson's disease;
• uncontrollable consequences of prostate surgery;
• dysfunction, infection of the genitourinary system;
• overflowing bladder;
• long-term exposure to radiation therapy while undergoing treatment for cancer;
• age-related changes in prostate tissue;
• prostate adenoma;
• benign hyperplasia.

Most often, chronic urinary incontinence in men or enuresis is diagnosed when the so-called secondary urinary incontinence at night is diagnosed. With age, in men, doctors often diagnose changes in the organs of the genitourinary system, provoked by prostatitis, cancer (adenoma) of the prostate, stroke, migraine, atherosclerosis of the brain, urinary tract infection, spinal injury, stroke, Parkinson's disease.

Involuntary urination in men manifests itself in conjunction with a number of unpleasant symptoms and it is no longer possible to hesitate to see a doctor. This is a consequence of various pathologies in the body and is not a separate disease, but it clearly worsens the quality of life, leads to psychological problems.

Signs

In case of incontinence, urine no longer stays in the bladder and begins to drip away, uncontrollably. Some of the liquid remains in the bubble and the process becomes incomplete.

With spontaneous discharge, it is possible:

• temperature rise;
• the appearance of weakness, malaise;
• discharge of urine with blood clots;
• soreness in the lower abdomen;
• increased frequency of false urge to urinate;
• discharge of fluid in small portions, spontaneously;
• bowel dysfunction;
• the presence of a burning sensation, itching.

During the diagnosis, an increased level of protein in urine is detected. Urine begins to voluntarily depart in small portions when laughing, sneezing, coughing against the background of increased intra-abdominal pressure. The clinical symptoms of incontinence can actually be very different.

Diagnostics

Men are encouraged to undergo tests and tests when they experience involuntary urination. Symptoms, doses and frequency of urge to use the toilet, the degree of urine excreted per day will be taken into account.

Basic detection methods:

• general urinalysis for infection with viruses, bacteria;
• blood test for suspected diabetes mellitus, when it is necessary to treat the underlying causes of nocturnal enuresis;
• ultrasound of the bladder, kidneys, if there is a suspicion of damage to the prostate gland or organ injury;
• uroflowmetry as a method to determine the volume of urine to be separated, the rate of exit and the time it takes for the bladder to empty completely;
• a catheter test for post-voiding residual urine flow;
• electromyogram with recording of electrical activity if there is a suspicion of decreased muscle elasticity.

Treatment

Treatment is complex: medicines, exercise, diet, massage, folk remedies. In advanced cases, it is possible to no longer do without the operation.

The course of therapy is determined exclusively by the attending physician!

Medicines

Among the popular and often prescribed drugs in tablets for imperative urinary incontinence and unnatural contractions of the bladder are:

• antispasmodics to reduce contractions of the bladder muscles and relieve pain;
• adrenergic blockers (Pirroxan, Artezin) to normalize the outflow of urine, the work of the prostate gland;
• inhibitors for urinary retention or uncontrolled passage;
• alpha blockers (Alfuzosin, Tamsulosin, Terazosin) for obstruction of the urinary tract and enlargement of the prostate gland in size, to relax muscles, ensure normal outflow of urine, prevent unnatural contractions of the bladder;
• antidepressants (imipramine) to relieve spasm in the bladder;
• antidepressants with the active ingredient - Impramine to relieve spasms in the bladder, block nerve impulses and weaken muscles;
• antispasmodics (Hoxybutynin, Propantheline, Tolterodine, Tarifenacin) to relieve cramps in the bladder, weaken muscles;
• neuromodulators for overactive bladder incontinence;
• homeopathic remedies (Enuran, Urilan) in the treatment of age-related incontinence, uncomplicated urination disorders as indicated by a doctor.

Operation

Therapeutic methods are selected by the attending physician on a purely individual basis. If urinary incontinence in men does not go away and medication treatment becomes useless, then surgery is the only right solution to eliminate such a pathology.

Note! Over time, common urinary incontinence can lead to cancer: prostate cancer or prostate cancer. If an operation is indicated, then men should not refuse

The following techniques are possible:

• insertion of an annular valve into the bladder, if the cause of incontinence is an injury to the pelvic bones or a disease - prostate adenoma;
• loop technique by placing the posterior urethra in the form of a polypropylene loop to maintain the urethra in a normal position;
• collagen injections for incontinence in older men with prostate cancer survivors or surgery to remove a tumor.

In the post-rehabilitation period, men are usually prescribed to wear catheters or sphincters as devices for complete emptying of the bladder due to obstructed outflow after surgery.

Other techniques

Uncontrolled urination is a recurrent pathology and doctors today suggest curing an ailment with other effective methods:

To achieve greater efficiency, it is necessary to learn how to influence the most important points of the diaphragm. You can conduct classes anywhere, that is, when urinating, mechanically stop the stream for 5-6 seconds, then continue the process without interfering with your hands and without pinching the urethra with muscles. It is important to make the pennis jump, thereby tuning in to the maximum erection.

It is enough to carry out 5 sets of exercises in a complex or make delays for 2-3 seconds with a gradual increase in time, so bring the number of contractions up to 5 times within 10 days. This is a fairly simple way when you need to train your muscles and eliminate unpleasant symptoms.

But experts suggest taking into account some tips:

• there is no need to overload the muscles, so you need to carry out classes gradually, moving from simple to complex;
• it is advisable to start the exercises by squeezing the urethra, then you can move on to contractions, pushing urine;
• do up to 30 reps per day for each exercise separately.

Men say it's hard in the first 2-3 days. Then the muscles gradually begin to strain on their own, other muscles and hips are included in the work by themselves. The main thing is that only disposable muscles are involved in the work.The use of the technique in the restoration of weakened muscles, the normalization of the functions of the bladder. You need to maintain a slow pace while exercising and gradually increase the number of repetitions per day.

Folk recipes

It is important for men to know and what to do to treat pathology at home. But you need to take into account the causes of the appearance and the existing symptoms of the disease. The main thing is to agree on the applied recipes with the attending physician. In this case, it is best not to additionally neglect the prescribed medications, other methods and to carry out the treatment in a complex. After all, this is the only way to quickly get rid of the misfortune in order to restore the genitourinary system.

Traditional healers have long known how to treat urinary incontinence in men and recommend using: mint, rosehip berries with ascorbic acid, herbs.

Here are some good recipes:

• dry bitter wormwood, 1 tbsp. brew with boiling water (1 glass), leave for 1 hour, take 1/3 cup 2 times a day to remove harmful substances and improve urination;
• dill (seeds) to relieve the inflammatory process by brewing with boiling water and infusing;
• centaury, prepare a decoction, take shortly before bedtime in case of severe pathology that has arisen against the background of influenza;
• lingonberry (leaves and berries), prepare a vitamin drink in order to destroy bacteria in the bladder. It is a good remedy for urinary incontinence in men and for prevention;
• heather + horsetail + parsley, take 1 tbsp. l., insist on boiling water, which also removes bacteria from urine well. You can make a vodka tincture to help eliminate the symptoms of inflammation and spasms;
• plantain (leaves with amino acids) to strengthen the walls of the bladder, relieve inflammation with frequent urge to use the toilet by infusing 1 tbsp. herbs in boiling water;
• violet (100g), wheatgrass root (80g), soldier's herb (100g), take 1 tablespoon each, brew in 0.5 l of water, insist and take for prostatitis, bedwetting;
• Brew corn silk with boiling water and thereby treat urinary enuresis in men as an addition to the main therapeutic course. You can read the instructions for use on the packaging when buying dry pharmacy raw materials;
• centaury + sage + St. John's wort take 1 tsp., boil with boiling water (1l), leave for 1.5 hours 1 hour, take 0.5 cups 4 times a day.

To achieve maximum effect, you can pick up 3-4 acceptable recipes and alternate them with each other.

With pathology, men need to radically reconsider their lifestyle, give up bad habits (smoking, alcohol). It is useful to engage in physical health. Sports such as running, swimming, cycling are good. It is important to normalize sleep and get a good night's sleep, knead your pelvic bones more often when you are sedentary.

To treat chronic urinary incontinence in men means to follow a diet. You need to eat more foods with fiber: vegetables, grains, cereals, fruits. Avoid constipation. In particular, give up salty, sour, fried, fatty foods, which can only lead to irritation of the mucous membrane of the bladder and sphincter. Limit sodas and strong coffee.

It helps a lot:

• carrot juice to normalize urination and improve immunity;
• lingonberry as a diuretic in the treatment of bedwetting.

It is better to treat urinary enuresis in men in combination, alternating different methods of treatment, supplementing with physical activity and proper nutrition. If the pathology is not treated on time, it is possible to develop overactive bladder, when it will be very difficult to control the outflow of urine. The pathological process will become neglected, and the treatment of urinary incontinence in men will be long and difficult.