About Male Urinary Incontinence
Overview
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Urinary incontinence is a loss of bladder control that results in
involuntary urine leakage. Some people experience only occasional,
minor leaks, or dribbles of urine. Others wet their clothes frequently.
Incontinence is not a disease, but rather a condition occurring in
the body resulting from injury or disease. For about 80 percent of
people who experience urinary incontinence, the situation can be
treated successfully or improved. To better understand incontinence,
it's helpful to know how the normal urinary system works.
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How the urinary system works
- Your urinary tract collects, stores, and eliminates urine from your body.
- When you eat and drink, your body absorbs liquid. Excess fluid and liquid waste
accumulate in your bloodstream. Your kidneys filter your blood and remove liquid
waste to make urine.
- Urine travels from the kidneys down a pair of long tubes called ureters
(u-REE-turs) and empties into your bladder. A short tube called the urethra
(u-REE-thrah) is connected to the bottom (neck) of your bladder. Urine exits
your body through the urethra. In men, the urethral opening is at the tip of
the penis.
When you urinate, several things happen:
- First the pelvic floor muscles relax, allowing urine to pass out of your body easily.
- Then your bladder muscle (detrusor muscle) contracts, pushing urine out of your bladder
and through the urethra.
- Between episodes of urination, your bladder muscle relaxes, allowing urine
to be stored in your bladder. At the same time, the pelvic floor muscles lightly
contract, holding the urine in the bladder and supporting your bladder from
underneath.
Certain neurological conditions may impair your bladder function and cause
leakage or incontinence.
Types of incontinence
There are several types of urinary incontinence. The main types are:
- Stress incontinence - This is loss of urine when you exert
pressure or stress on your bladder by coughing, sneezing, laughing,
exercising or lifting something heavy. The problem is especially
noticeable when you let your bladder get too full. Stress incontinence
is the most common type of incontinence. In men, removal of the prostate
gland can lead to this type of incontinence.
- Urge incontinence - This is a sudden, intense urge to urinate,
followed by an involuntary loss of urine. Your body may give you a warning
of only a few seconds to a minute to reach a toilet. With urge incontinence,
you may also need to urinate often. The need to urinate may even wake you
up several times a night. In urge incontinence, the bladder is said to be
"overactive". It's contracting even when your bladder isn't full.
- Overflow incontinence - If you frequently or constantly dribble
urine, you may have overflow incontinence. This is an inability to empty
your bladder, so it overflows uncontrollably and you leak urine. With
overflow incontinence, you may feel as if you never completely empty
your bladder or that you need to empty your bladder, but can't. When
you try to urinate, you may produce only a weak stream of urine. This
type of incontinence is common in people with a damaged bladder or
blocked urethra and in men with prostate gland problems.
- Mixed incontinence - This means having more than one type
of incontinence, typically stress incontinence and urge incontinence.
- Functional incontinence - Many older adults, especially
people in nursing homes, experience incontinence simply because a
physical or mental impairment keeps them from making it to the toilet
in time. Total incontinence. This term is sometimes used to describe
continuous leaking of urine, day and night, or periodic large volumes
of urine and uncontrollable leaking. Some people have this type of
incontinence because they were born with an anatomical defect. It
can also be caused by a spinal cord injury or by injury to the
urinary system from surgery.
- Incontinence from surgery - This can result as a side effect
from certain operations, such as rectal surgery, prostatectomies or lower
intestinal surgery.
Next: Causes of Male Urinary Incontinence >
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