Urinary Incontinence in Men

Dr. Jones uses innovative treatment options for male incontinence

Urinary incontinence is the inability to control the flow of urine from the bladder. There are several types of urinary incontinence:

  • Stress incontinence: a leaking of urine that is caused by stress on the bladder due to normal, everyday activities (e.g., sneezing, coughing, laughing, exercising, lifting heavy objects)
  • Urge incontinence: urinary incontinence that is caused by a sudden, intense urge to urinate, leaving no time to get to a toilet
  • Overflow incontinence: a dribbling of urine (frequent or constant) that is caused by an inability to completely empty the bladder
  • Mixed incontinence: a combination of two or more types of urinary incontinence
  • Functional incontinence: urinary incontinence due to loss of physical function, making it difficult to get to the toilet on time (e.g., being unable to get out of bed without assistance and not having assistance available)
  • Total incontinence: a constant leaking of urine or a complete inability to control the bladder

Causes of Urinary Incontinence in Men

In order to control urination, your urinary and nervous systems must be functioning properly, and you must be able to feel and respond to the urge to urinate. Certain diseases or conditions can damage or irritate the bladder, urethra, and/or urinary sphincter (or the surrounding nerves), leading to urinary incontinence. Incontinence can be temporary or permanent, depending on the cause.

Tests for Urinary Incontinence in Men

Incontinence can often be treated successfully with the right interventions, but before you can be treated, we will need to run some tests to determine the cause of your incontinence. Not everyone will need to go through each test, but you may have to try more than one in order to ensure an accurate diagnosis. Tests for incontinence may include:

  • Keeping a bladder diary
  • Urinalysis
  • Blood test
  • Postvoid residual (PVR) measurement
  • Pelvic ultrasound
  • Stress test (cough test)
  • Urodynamic testing
  • Cystogram
  • Cystoscopy

Treatments for Urinary Incontinence in Men

There are several available treatments for incontinence. Which one is right for you will depend on the cause and the severity of your incontinence. You may need to try more than one to find the one that works best for you. Incontinence treatments may include:

  • Behavioral techniques
  • Physical therapy
  • Medications
  • Medical devices (e.g., external catheter, penile clamp)
  • Interventional therapies (e.g., bulking agents, botox, electrical stimulation)
  • Surgery

For more information on urinary incontinence in men, contact Leroy Jones, MD, urology specialist in San Antonio TX.