When people think of incontinence, most of us think of females that deal with some leakage with coughing, sneezing or laughing as they get older. There are great treatments for female incontinence, and women tend to talk to their doctors and friends about it. Men, however, don’t tend to share this important part of their quality of life with those around them.
Incontinence in men, just like in women has two primary types. Urgency incontinence, which is leakage when you can’t make it to the bathroom in time, and stress incontinence which is usually associated with prostate cancer surgery.
Urge incontinence in men, is evaluated and treated much like urgency incontinence in women. Physical therapy, medications and sometimes higher level treatments such as bladder botox injections or Interstim are recommended.
In most men who have prostate cancer surgery, their incontinence will resolve. For some, this takes only 6 weeks, for others it can take up to a year or more. The general rule after prostate cancer surgery is for conservative evaluation, encouragement and physical therapy. Physical therapy is critical to restoring the strength of the pelvic floor and regaining function. If incontinence persists after a year despite physical therapy, and is bothersome, then other options can be considered.
In general, there are 3 treatments for male stress incontinence. Injection of urethral bulking agents, the “Male Sling”, and the Artifical Urinary Sphincter (AUS).
For male stress incontinence, there are many options. It is often amazing how long it takes patients to seek care for these issues. Please request a copy of the book, “Ending ED and Incontinence” for a more detailed discussion of treatment options, or contact Urology Specialists of Oregon at (541) 322-5753 to make an appointment today.