Causes of involuntary nocturnal urination in men

Nocturnal urinary incontinence in men is considered an uncontrolled disorder of the elimination of urine from the body at night. Urologists are especially attentive to this pathology. Correct therapy requires a competent definition of the etiology.

Spontaneous urine emission is a common pathology in men after 50 years. Enuresis is manifested due to the fact that some diseases were not cured in childhood. Sometimes the causes of involuntary urine emission lie in acquired secondary urinary incontinence in men at night.

Involuntary urination at night in men has a specific classification:

• ongoing process (primary);
• recurrent;
• Purchased (secondary);

The first manifestations of bedwetting in men should be examined by a specialist for professional help. Prolonged enuresis leads to the manifestation of psychological problems that can provoke serious complications in the urinary and reproductive system. For example, cystitis (inflammation of the urea).

What causes bedwetting in men

Nocturnal urination in men has a different etiological nature with different mechanisms of action.

These factors include:

• psychological disorders - regular stress and depression;
• infectious and inflammatory diseases localized in the lower urinary tract or in the bladder itself;
• the reasons may be in a tumor state (prostate adenoma);
• mental disorders caused by diseases: Parkenson's, multiple sclerosis and others;
• urinary incontinence in men is possible after undergoing surgery on the urinary and reproductive system or on the prostate itself;
• pathological urea hyperactivity;
• mechanical trauma in the spinal cord, brain with further development of the disease;
• structural restructuring of the body due to age-related changes in tissues in the small pelvis, as well as in the prostate itself;

There are two signs of leaks. This is involuntary leakage during the completion of emptying and urination during sleep. The urgent form is marked by an imperative urge to withdraw urine, which is manifested by urinary incontinence. The stressful form of the pathology of incontinence is characterized by the manifestation of leakage when sneezing, loud laughter, coughing.

Treatment of urine incontinence at night

Because of the cause of incontinence in sleep, men feel pronounced discomfort, family relationships and careers are collapsing. Involuntary emission of urine in men, treatment and monitoring of the therapeutic effect of the prescribed regimen should be carried out under the supervision of a specialized physician.

Prescribing therapeutic therapy is aimed at solving pathological problems:

• increase in urea capacity;
• decreased contractile activity.

Medical treatment consists in the use of antispasmodics with antidepressants. When the disease is stressful, the doctor may recommend special sets of physical exercises along with physiotherapy procedures (electrical stimulation).

Treatment of primary involuntary urine emissions at night

The primary pathology is the process of involuntary nocturnal urine emission throughout the entire life period. Medical statistics note 0.2-0.5% of such patients among the male population. Detrusor overactivity was noted in these patients.

Among the effective methods of treatment, the following are noted:

• wake the patient up to pass urine at night;
• taking desmopressin before bed;
• recommendations for taking medications with antimuscarinic action (Oxybutynin).

When the causes of involuntary urination in males lie in an acquired (secondary) disease, a different treatment regimen is provided. This pathology manifests itself at least one year after previous episodes of bedwetting.

This disorder occurs in patients with:

• infravesical obstruction - a typical picture in elderly men with chronic urine retention with manifestation of paradoxical ischuria in the presence of prostatic hyperplasia;
• diabetic cystopathy - a manifestation in type II diabetics, is associated with clinical symptoms that have arisen due to detrusor overactivity (stabilization of plasma glucose is recommended by taking drugs to block detrusor overactive activity);
• endocrine system disorders - possible incontinence in men at night is a consequence of thyrotoxicosis (pathology is removed by regulating the production of thyroid hormones);
• sleep apnea - the syndrome in question contributes to the induction of involuntary excretion of urine at night (therapy is aimed at eliminating the causes of the pathology);

When sleep is accompanied by an unpleasant disorder provoked by operative surgery on the prostate, a complex, conservative elimination of involuntary leakage is used. The duration of therapy takes from six months to 12 months.

How is non-random leakage treated at the end of urine flow

Thorough urethral debridement is recommended. Doctors also recommend performing some rhythmic pelvic movements until the penis is moved back into the underwear.

Before the appointment of effective treatment, a specialized specialist conducts diagnostics for the primary development of a disorder of the urinary and reproductive system. Therapy is prescribed after identifying the cause focused on the etiological factor.

Using drug therapy

Any medications for urinary incontinence, men are prescribed only by the attending physician based on the clinical picture of the disease.

Among the drug treatment, the most effective drugs are noted:

• Alpha blockers. Experts identify such medicines as: Artezin, Pirroxan and similar medicines. The action of medicines in this group is aimed at improving the functioning of the male gland (prostate). After using these funds, the outflow of urine improves.
• Medicines with antispasmodic action. They are involved in relieving painful symptoms and helping to reduce spasms of the muscle tissue of the urea.
• Alpha reductase inhibitors. They are used to relieve the frequency of uncontrolled urine separation, in some cases they are recommended for keeping urine in the urinary organ (bladder).

The selection of medicines is carried out by a specialist on an individual basis.

Operative methods of treatment

Urine leakage in men is treated.

When conservative and drug treatment does not give the expected result, the doctor makes a decision for the surgical intervention:

• Insertion of the annular valve into the urinary tract. This operation is performed on patients with hyperplasia (prostate adenoma) or uncontrolled emptying of urine due to trauma in the bone system of the pelvic region or muscles.
• Treatment by injection. The use of perurethral collagen injections is recommended for patients after undergoing surgery to resect a prostate cancer. Such an operation is performed on elderly patients, but this method of therapy is not considered successful.
• Slinky method (loopback). Specialists note the high efficiency of treatment after applying this technique. In surgery, it is the best way to treat a urinary disorder during sleep. A polypropylene loop is made from the back of the urethra, which subsequently supports the urethra and prevents the uncontrolled flow of urine.

Folk remedies for uncontrolled outflow of urine

Traditional medicine cannot be considered the main treatment. It can only be an adjunct to the main therapy. Some home remedies are most commonly used for male incontinence.

Complementary therapies

Among the additional therapies to prevent recurrence of incontinence recurrence, the following are noted:

Uncontrolled emptying of urea has a long course of treatment. Throughout the treatment therapy, the patient must unquestioningly follow the recommendations of doctors, have a positive attitude, adhere to a dietary diet.