Untreated stress urinary incontinence in men can lead to complications. Learn about the causes and treatment options to address this condition promptly.
Stress urinary incontinence (SUI) manifests as unintentional urine leakage during activities that strain the bladder, like coughing, sneezing, laughing, or exercising. While commonly associated with women, it can also affect men, though it’s less openly discussed. Men grappling with SUI often endure embarrassment and a reduced quality of life. Thankfully, numerous treatment options exist. Dr. Sanjay Gogoi, Senior Consultant & Head of Urology & Renal Transplant at Manipal Hospitals, Dwarka, New Delhi, enlightens us on potential causes and treatment avenues for SUI in men.
Recent studies indicate SUI affects approximately three to five percent of young men and 11 to 34 percent of elderly men. However, owing to limited awareness, its impact on patients’ lives can be severe, often leading to depression and social withdrawal.
What Triggers Stress Urinary Incontinence in Males
Primary Factors Contributing to Stress Urinary Incontinence in Men Comprise:
1. Prostate surgery, notably radical prostatectomy
2. Obesity and surplus weight
3. Aging and diminished pelvic floor muscles
4. Persistent coughing
5. Neurological conditions impacting bladder control
6. Obstruction at the bladder outlet
7. Persistent constipation
8. Specific medications, like alpha-blockers
Treatment Options for Stress Urinary Incontinence
Behavioral Strategies and Physical Therapy as Treatment for Stress Urinary Incontinence
Initial Approach to Treating SUI Emphasizes Behavioral Adjustments and Pelvic Floor Muscle Exercises. Kegel exercises, involving the contraction and relaxation of urination-controlling muscles, prove advantageous in enhancing bladder control. Regular and consistent performance of these exercises yields noticeable improvements over time. Additionally, men with SUI can find relief through physical therapy. Pelvic floor physical therapy targets pelvic muscle strengthening and enhancing bladder control. Modalities like biofeedback and electrical stimulation may supplement physical therapy efforts to aid in bladder control recovery.
Medications
In certain instances, medications might be recommended to alleviate SUI symptoms. A group of medications known as SSRIs heightens the activity of the nerve responsible for stimulating the urinary sphincter, thereby enhancing urinary control. Additionally, medications like alpha-adrenergic agonists could enhance urethral sphincter function and diminish urine leakage. However, these medications are rarely prescribed due to potential side effects.
Utilization of External Support Devices
For men encountering more severe SUI cases, external support devices offer effective temporary remedies. External devices like penile clamps or compression tools can be worn to apply pressure on the urethra, thus averting urine leakage during SUI-triggering activities. Consulting a healthcare professional for proper fitting and usage guidance is crucial when considering these devices.
Surgical Interventions
Various surgical options are available, such as the insertion of an artificial urinary sphincter or a male sling, aiming to bolster bladder control by supporting the urethra and preventing urine leakage.
The artificial urinary sphincter comprises three components: a fluid-filled cuff encircling the urethra, a pressure-regulating balloon implanted in the abdomen, and a pump embedded in the scrotum for device control. This surgery typically enhances urinary control in most men with SUI, while the male sling assists in managing mild to moderate urinary incontinence by repositioning the urethra. It’s crucial to thoroughly discuss surgical interventions with a urologist to assess potential risks and benefits.
Stress urinary incontinence can significantly impact men, leading to embarrassment and diminished quality of life. Behavioral techniques, physical therapy, medications, external support devices, surgical interventions, lifestyle adjustments, and weight management can all contribute to managing and ameliorating SUI symptoms. With appropriate support and strategies, men can regain control over their bladder and enhance their quality of life. Incorporating lifestyle changes such as regular exercise and a balanced diet can aid in weight management and alleviate stress on the urinary system.
Note: This information is provided for public interest and educational purposes only. It does not constitute medical or clinical advice. Please consult with your healthcare provider for personalized guidance.