Urinary incontinence in men: Causes and treatment of disease

If urinary incontinence, a man feels quite serious difficulties in social life. After all, this disease severely limits the possibility of any kind of activity was. Very often, incontinence leads to serious psychological problems: whether disadaptative or even depression.

Though the disease and does not bring serious damage to health, but today cure incontinence quite difficult, mainly due to the fact that patients with very late turn to the urologist, embarrassed his Problems. According to statistics, only 30% of men come to be examined by a doctor. And it is absolutely not right! Many types of urinary incontinence in men treated very simply just in the early stages. If a long time not to resort to medical procedures, there is a good chance of making a chronic form of enuresis, which can be cured only with the help of surgery.

Below you will learn what the first symptoms should pay attention to what is worth doing at the detection of the disease, what preventive methods exist and how to forget about the problems with the bladder!

Types of urinary incontinence in men

There are some types of incontinence:

1. Stress urinary incontinence in men - involuntary urination when coughing, sneezing, laughing at;
2. urge incontinence - abundant urine at characteristic urge to urinate;
3. enuresis - bedwetting men in a dream.

Bedwetting in adult men and incontinence in older men, according to the flow of duration, divided into subspecies:

• regular urinary incontinence in men - every night is allocated a certain portion of the urine;
• recurrent enuresis - appears periodically (remission relapse replaced and vice versa);
• during the absence of enuresis in adults and elderly men.

Nocturnal enuresis in adult men of mature age can be of two types:

1. congenital - there was still a child;
2. Acquisitions - appeared in the course of the impact of various negative factors or causes.

Causes of

Causes of urinary incontinence in men:

1. prostatic diseases (prostatitis, adenoma, prostate cancer);
2. the effects of surgical intervention in the handling of the prostate gland;
3. dysfunction of the brain or spinal cord responsible for the control over urination;
4. genital infections or infection of organs of the urethra;
5. kidney stones, kidney stones;
6. neurological disease - cerebral atherosclerosis, stroke, migraine, etc .;.
7. causes of bedwetting in older men - changes that have occurred over the years in the organs of the urogenital area, the so-called senile uncontrolled urination.

urinary incontinence in men symptomatology

Spontaneous urine compartment is detected by symptoms:

• frequency of urination;
• arbitrary urine in small portions during the day or at night (eventually follows urine volume will increase);
• pain in the urinary organs, and in the lower abdomen;
• urine contains blood clots;
• increases and holds the body temperature, fever possible;
• general malaise and weakness.

Diagnostics

Diagnostic measures aimed at identifying the type and form of urinary incontinence in men include:

1. medical examination of a patient comprising: Evaluate lifestyle-previous disease, patient complaints;
2. feeling and palpation of the prostate;
3. recordkeeping number of controlled and uncontrolled urination;
4. general and clinical blood and urine tests;
5. US urinary tract organs, prostate;
6. X-ray examination;
7. Endoscopy of the urogenital sphere;
8. urodynamics bladder - is carried out to assess the nature of the offense of involuntary urination.

disease treatment

Pathologies associated with incontinence can be cured with the help of specially selected therapeutic methods. Each patient such methods are selected purely individual. When conservative treatment and drug therapy do not bring proper results, patient surgery can be scheduled.

Lifestyle

The most important condition for a speedy recovery - changing lifestyles of men suffering from this disease. Here are some recommendations for incontinence:

1. Firstly, it is necessary to abandon this harmful habit, like smoking. Nicotine affects all organs, urogenital system, including. If it is impossible to give up cigarettes at once, you can do it gradually - by smoking every day less quantity.
2. Second, you need to forget about alcohol or limit its intake to a minimum. Alcohol affects the functioning of the prostate and provokes aggravation of health problems related to urination disorders. In the simultaneous treatment of disease and receiving alcohol treatment will be at best ineffective, and at worst - the disease enters the acute stage and cure will be much harder.
3. It is necessary to pay attention to your physical health - to engage in any kind of sports, such as jogging, swimming, cycling or just walk to the gym. When the eternal employment, and lack of free time should at least carry out daily morning exercises, do jogging in the morning.
4. When treating enuresis considerable importance is sleep. You need to sleep at least 8? 9 hours a day. Fall asleep in strictly designated time and just wake up. When sedentary work is necessary to take breaks and walk around, stretching the pelvic muscles.

Diet and proper nutrition

Dieting plays an important role in the treatment of urinary incontinence. Should be administered in the diet more foods rich in fiber, it is - vegetables, fruits, grain cereals. Such food is good for the prevention of constipation, which can not prevent incontinence. It is also worth to give up foods that irritate the mucous membrane of the bladder, it is spicy, salty, acidic foods, fatty and fried foods. From drinks to limit coffee, strong tea and sodas.

Exercises

Doing exercises to strengthen the muscles of the bladder and the pelvic floor has a positive effect on muscle tone and helps to normalize urination. Kegel exercises - one of the most common methods of conservative treatment of enuresis, encountered in medical practice. Exercises are performed as follows:

1. You must 10 or even 20 times compress and decompress the muscles during urination. Thus there is training the pelvic muscles and the muscles of the colon.
2. During urination the time you need to try to keep the jet for a couple of seconds, and then continue the process.

Medications

Medicines for urinary incontinence for men are assigned strictly by the attending physician. The most popular drugs prescribed for this malaise is:

1. Alpha-blockers such as preparation "Artezin", "pirroksan" and other similar drugs.
   

   Their action is aimed at improving the functioning of the prostate gland, normalizing the flow of urine.

2. Antispasmodic drugs. Used to alleviate pain and reduce muscle contractions of the bladder.
3. Inhibitors of 5-alpha-reductase. Treatment with these drugs allow uncontrolled separation of urine to reduce the frequency or, alternatively, delayed in its bladder.

operative therapy

At ineffectiveness of conservative and medical treatment is carried out surgery, which includes the following operations:

1. Implementation of the annular valve bladder. this surgery is performed in men with prostate adenomaWhen uncontrolled outflow of urine due to the injury to the pelvic bones or muscles.
2. Injection therapy. Periurethral injection of collagen are shown patients who had undergone surgery to remove cancerous prostate tumors. This method of treating urinary incontinence in the elderly, but is not considered to be sufficiently reliable.
3. Sling (loop) operation. On the basis of medical practice, it is the most effective method of surgical treatment, in which the back of the urethra conducted polypropylene loop that supports the urethra and prevents the lack of control at urinating.

Treatment of folk remedies

Treatment of folk remedies, conducted in the home, is considered an auxiliary method of treatment of male incontinence. Here are the most common recipes:

1. Mark 2 hours. l. plantain herb, pour 250 ml of boiling water. Set aside to infuse for 1 hour. Strain and take resulting infusion for 1 st. l. 3 times a day for half an hour before meals. This folk remedy is indicated for the treatment of urinary incontinence in men.
2. Another popular means by which to treat urinary incontinence, the collection of medicinal herbs. Take each herb to 1 hour. l. - sage, St. John's, centaury. Pour the mixture of 1000 ml of boiling water. Infuse for 1 hour strain and drink 1 glass 3 times a day.

herbs

Dill

1. Ordinary dill successfully used in enuresis. To prepare the mixture of healing, which actively fights against inflammatory processes in the urogenital system is necessary Seeds of the plant doctor (1 tablespoon) pour cup of boiling water and infuse conventional manner a couple of hours. After that means should strain and drink the whole glass at once. Eat 1 per day.

Such a method is for a fairly short period of time will help get rid of urinary incontinence. The use of fennel is contraindicated for people suffering from hypotension, as well as pregnant women.

milfoil

2. milfoil It gained popularity due to the huge number of useful properties. It has astringent, diuretic, anti-inflammatory action.

To prepare a decoction, which will successfully treat illness should plant a good chop and pour boiling water. (1 teaspoon per cup of boiling water). Then the broth aside for infusion. Take medicine for half a cup 2-3 times a day.

Yarrow should not be used for a long time in order to avoid dizziness and rash.

tutsan

3. tutsan - medicinal herb, known since ancient times. It is widely used in various diseases. Decoctions of plants, getting into the body, trigger a chain of important health processes.

The recipe is simple healing broth. 40 g of herbs, taken together with flowers, pour the conventional method 1 liter of boiling water. Good wrap and insist 2 hours. Strain and drink during the day as a tea.

Sage

4. Sage - a medicinal plant having antimicrobial properties. It is widely used for the treatment of urogenital diseases.

Recipe for a cure for bedwetting: 40 g herb to fill a liter of boiling water, wrap up, insist the usual way and, strain and drink three times a day for half a cup.

cowberry

5. In the treatment of urinary incontinence used cowberry. Moreover, and leaves, and berries. Lingonberry diuretic effect. It effectively cope with the problem.

For the preparation of therapeutic mixtures should:

• take a tablespoon of leaves and berries,
• add to the mix 2 tablespoons of Hypericum - natural antibiotic and pour 3 cups of water.
• Well boil the mixture on low heat.
• Then the healing plant, famous for its anti-inflammatory properties need to infuse, then strain through a strainer.

Drink a decoction of the best since the second half of the day and until bedtime. During this period, should be drunk three glasses of funds.

gathering herbs

• Recipe efficient collection that prolonged use could help get rid of the disease. 100 grams of nettle leaves and marshmallow root mix and add 70 g of yarrow. Again, mix well.

Evening 2 tablespoons collection brew in a thermos (500 mL water). In the morning strain broth and drink it throughout the day as a tea.

Such a medicament is capable of cure advanced stage enuresis. Elderly should be used with caution. For these plants, the dosage should be 2 times smaller.

• If urinary incontinence in men is caused by prostatitis, the disease will help to cope with this collection: 100 g of grass violet and couch grass root mix and add 80 g of a soldier's herb, as it is called in Yarrow people.
  

  That he has a pronounced anti-microbial and anti-inflammatory action.

3 tablespoons of this unique collection should fill a thermos liter of boiled water and take in the morning, drain, 1 glass during the day.

• Urinary incontinence in men is due to stagnation in the prostate gland. To the stronger sex, traditional medicine offers a recipe from mochenederzhaniya: a handful of seeds plantain fill in a thermos and pour a liter of boiling water.

Such agent should infuse 3 hour. Then it should be strain and drink 4 times a day for a glass.

9. In the treatment of urinary incontinence in pregnant women used to secure the child's grass. Medicinal Herbal Blends prepared as follows:100 g Repeshko mixed with 70 g Hypericum and add 50 g gryzhnika.

2 tablespoons drug mixture pour 500 ml hot water and let stand for 2 hr. Strain and take several times a day for half a cup.

10. Urinary incontinence - a problem familiar to women in the postpartum period. In this case, it is recommended to take the remedy:

• crushed carrot tops (3 tablespoons)
• pour a liter of cold water,
• put the mixture on the stove and cook it for half an hour.
• Then cool, strain and drink twice a day for 1 glass.

Red wine

Means, used for advanced stages of urinary incontinence in women and men.

• To cook it you need to grind in a mortar turnip seeds (50 g).
• Then pour the mixture red wine good quality (500 ml)
• insist week in the dark,
• strain
• Take a spoonful four times a day.

The first result Boden seen after 2 weeks of treatment. Then you can slightly reduce the dosage in half and expect a full recovery.

Bay leaf

Broth from leafs - a remedy for many ailments. It relieves and incontinence. The recipe of preparation is as follows:

• you need to boil a couple of leaves of laurel 10 minutes in a glass of water
• cool
• drink half a cup of decoction three times a day.
• The recommended course of treatment - 1 week.

In the treatment of enuresis gives a good result of the use of broth blueberries. The plant possesses choleretic, diuretic, antiinflammatory, anthelminthic action. Recipe for medicinal decoction simple as all genius:

• 1 tablespoon of berries, pour a glass of boiling water,
• boil for a few minutes.
• Insist.
• Drink before bedtime.

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Other treatment methods

Additional therapies suggest a cure and prevention of recurrent relapses enuresis. These include:

1. Creating a chart of urination, which will indicate the amount of time the urge and urine sample. It is desirable to go to the toilet at intervals of at least 3 hours between each urge.
2. The method of "secondary urination." A few seconds after the first urine drainage involves repeatedly restart the process. This method allows you to gain control over urination and strengthen the pelvic muscles.

Treatment of urinary incontinence in men - a long process requiring competent approach in the choice of therapy and a positive attitude man on the result. Performance of all medical recommendations on diet, lifestyle and the use of drugs, avoiding surgery and as painlessly as possible to heal sickness.

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Urinary incontinence in elderly men

Excreted by the kidneys urine accumulates in the bladder through the urethra passes through the prostate, penis and excreted.

Mochevyvedeniya channel surround circular muscle (sphincter of the bladder) that cutting, closed duct patency.

A healthy person is able to promptly and independently control the process miktsii (urination) and time, the bladder filling, the nervous system signals the need to empty the corresponding urge. When ready, the man relaxes muscular ring that leads to urination.

Pathological and age-related changes can provoke uncontrolled leakage of urine as a result of:

• Lack of ability to control the condition of the muscles of the urinary system.
• Weakening of the sphincter of the bladder, the urethra is unable to completely block the flow. The man feels the urge, has the ability to control the contractions of the muscles of this group, but it does not stop the leakage of urine.
• urethra block (partially or completely) that disrupts the regulation of urination.

The most common form of incontinence in older men:

• stressful - periodic uncontrolled leakage of urine at the voltage bladder muscle tissue;
• functional - urinary incontinence due to a general medical condition or external reasons that man is not able to reach the toilet;
• emergency - when the urge to act deurinatsii occurs suddenly (the bladder at the same time can be crowded), but it is not always possible to visit the toilet in time;
• total - a permanent uncontrolled leakage of urine due to the full deregulation of the muscle tissue of the bladder.

Urinary incontinence in older men - treatment of disease

The main goal of treatment - is to improve the quality of life of men, aimed at something that would reduce urinary frequency, extend the interval between miktsiyami, increase the capacity of the bladder. The choice of method of treatment depends on the form and extent of incontinence, the overall clinical picture and contraindications.

Medical - designed for medication aimed at:

• restore muscle tissue and its functions;
• improve the blood circulation of the pelvic organs;
• adjust the tone of the sphincter;
• enhance process control deurinatsii CNS;
• stabilize hormones in relation to the hormones responsible for the speed and volume of accumulation of urine;
• suppress pockets of infection and inflammation.

Of the major therapeutic agents used anticholinergic drugs, medicines mixed effects alpha-adrenoceptor antagonists, tricyclic antidepressants or noradrenaline reuptake inhibitors and serotonin. Duration of therapy is usually long, depends on the intensity manifested symptoms and can be administered intermittently or permanently application.

Physiotherapy - helps to restore muscle tone and performance of nerve endings from getting recreation sessions using special medical equipment, methods, techniques, therapeutic exercises and general recommendations specialists:

• transcutaneous electrical stimulation;
• system extracorporeal magnetic stimulation;
• set of Kegel exercises for men;
• Biofeedback therapy.

As the individual recommendations can be assigned to a special diet and drinking regime, keeping a diary and programming urination rhythm.

Surgical - held removal of pathological lesions, resection of tissues in the process of intervention operable lost their functionality.

The operation can be performed by minimally invasive, optionally with the use of implants, synthetic prostheses:

• Implantation of the annular valve (an artificial sphincter);
• sling operation (implantation male hinge);
• periurethral collagen injection therapy.

Today in the arsenal of surgical therapy is available about two hundred varieties of implants and their modifications, using different methods of installation.

Tobacco approximately 50% increase in the severity of symptoms of incontinence, as compared with those who do not have this dependency.

Incontinence - a status which does not pose a threat to life, but it can create a hygienic, psychological and social problems. Timely diagnosis and consultation with a specialist can help to successfully solve this delicate problem, are not insured by any men.

What is the essence of the disease

Normally, a person controls the process of urination. When the bladder is full "signal" to the owner that should go to the toilet, confidently holding urine until the right moment. When razvivshemsya incontinence the patient records of urine at the stage of a discharge of her. Such a result could lead, as a rule, a whole range of pathological processes affecting various systems and organs.

At its core, this issue is outside the scope of physiology - it can reduce a patient's quality of life, make it more difficult social adjustment, as applicable professional development and personal life. A man forms a stable psychological trauma, which will have to fight even for some time after the cure incontinence.

Urinary incontinence may appear in three main ways:

• Bedwetting - Enuresis;
• incontinence - urinary incontinence in various embodiments, which occurs during the period of wakefulness;
• urine in small amounts after urination.

Variety of diseases in adults

Different types of incontinence are classified depending on the reasons causing it.

Enuresis (bedwetting)

Bedwetting is more common in boys and men ages older than 50 years. In adult patients, it may be the result of the following diseases:

• congenital or acquired diseases of the urethra;
• bladder outlet obstruction;
• inflammation of the prostate gland;
• urolithiasis disease;
• genitourinary infections;
• diabetes;
• prostate cancer and bladder diseases;
• stress conditions;
• a state of acute alcohol or drugs.

Enuresis can be permanent or recurrent nature of wear.

stress incontinence

With this type of incontinence underwear in small portions allocated urine during physical exertion, even small - laughing, sneezing, jumping, weight lifting, etc. This type of incontinence is characterized by a lack of urgency to urinate. Experts attribute the development of this type of pathology to change the patient's hormonal background.

Urgent incontinence

This embodiment is characterized by the presence of the disease intolerable sudden urge to urinate, at which the patient unable to hold urine for at least a short period of time required to get to the toilet.

As a result, urine involuntarily moves toward the goal. It is curious that these things happen not only when the bladder is full, but the presence of it in a small amount of urine.

Recommendations for limiting the number of consumed liquid in this case, useless, because any provocation in the form of a jet of running the tap or fountain may result in immediate urinate.

The main cause of urge incontinence is the increased tone of the bladder caused by neurogenic factors, infections and neoplasms. In patients older than 60 years for these reasons, you can add the age of the locking weakness of the sphincter of the bladder.

postoperative incontinence

This type of incontinence is the result of surgical procedures in the urogenital organs - prostate or urethra when removing various kinds of tumors both malignant and benign case of injuries and pathologies of the urethra and etc.

Postoperative incontinence after some time after the operation can be made without additional therapeutic measures, but in some cases, the patient in need of treatment - conservative (medical and physiotherapy) or radical.

Overflow incontinence bladder

This embodiment of the disease develops due to compression of the urethra proliferating prostate or other tumors. As a result, the lumen of the urethra narrows the urine and leaves in small portions, but often. The bladder, which is not able to empty completely, starts subjected inflammatory diseases due to continuous stagnation urine.

• frequent urination;
• excretion of urine in small portions;
• constant leakage of urine in small amounts;
• urine flow is thin and weak, often intermittent;
• urination does not bring a sense of bladder emptying.

In severe cases, controlled urination stops completely and withdrawing fluid from the bladder is only possible with a catheter. Crowded bubble causes a sharp cutting pain. In such cases, the patient is set indwelling catheter with a urine output to the external tank or held surgical operation.

In addition to these types of incontinence, it should also be mentioned temporary incontinence associated with inflammatory diseases, neuromuscular abnormalities, severe stress, intake of certain medications drugs, etc.

In addition, experts say the combined forms of incontinence where the patient at the same time there are two or more forms of pathology. Medical statistics show that the most common combination is Urge and stress incontinence.

The causes of the disease

We have already talked about a number of factors that cause certain types of urinary incontinence. If we sum up all the possible causes of diseases, the picture will look like this:

• age degradation of tissues and ligaments of the pelvic organs;
• age transformation and inflammatory prostate disease;
• neoplasms of different nature;
• congenital urinary tract abnormalities and trauma;
• functional failure of the bladder and urethra;
• change in the position of the pelvic organs;
• the effects of surgical operations on the organs of the urogenital system;
• CNS pathology;
• infectious diseases of the urogenital system;
• urolithiasis disease;
• hormonal changes;
• stroke and other brain disorders regulation;
• emotional overload, stress;
• mental disorders;
• chronic intoxication and in a state of narcotic intoxication, diseases of diabetes;
• taking certain medications - tranquilizers, antidepressants, antihistamines, etc.

Which doctor should be treated

For successful treatment of incontinence man should visit a urologist or andrologist, and to do so as soon as possible. The earlier established the cause of the disease and the therapy is started, the more likely the patient to recover.

Urologist-andrologist will conduct the necessary diagnosis, which will most accurately determine the cause of the disease and prescribe adequate effective treatment.

Diagnostic measures usually include the following items:

• collecting detailed information about the patient's medical history and analysis of data on relatives;
• visual inspection and study with urological instruments, ultrasound, endoscopy;
• Radiography (uretsistografiya);
• keeping the patient diary for a few days listing all the involuntary discharge of urine;
• fee (a gasket) during the day urine volume released unintentionally, for determining the degree of severity of the pathology;
• Laboratory tests of blood and urine;
• Complex special studies to determine the bladder capacity, the elasticity of its walls, the state of the sphincter, and the like

The main methods of treatment

Treatment of incontinence may be conducted using conservative methods, and resorting to surgery.

The choice of treatment will depend on the type of disease, its severity and the reasons that cause.

Conservative therapy (exercise, medications)

Under conservative treatment means:

1. Medication. For treatment of incontinence are commonly used alpha blockers ( "Doksazonin", "terazosin"), antidepressants ( "imipramine"), antispasmodics ( "Darifenacin", "propantheline"), as well as drugs to eliminate the causes of prostate hyperplasia ( "Finasteride"). These drugs relieve spasms of smooth muscle, blocking nerve impulses that trigger the development of bladder spasms, and may reduce the size of the prostate;
2. Physiotherapy Methods - Effects on organs of the urogenital system weak discharges electric current and magnetic waves;
3. Physiotherapy, which includes a set of special exercises designed to train the pelvic floor muscles. One of the most popular complexes can be regarded as Kegel exercises, which work in parallel can improve the intimate sphere of man.

surgical methods

To surgical methods of treatment of incontinence resorted to only when conservative therapy has not given the desired result. Should be aware that surgery always carries a risk of complications, this technique is quite traumatic, and the patient will need a long period of rehabilitation.

Modern surgery offers patients several options transactions, which have worked well in recent years:

1. Implantation of a prosthesis of the locking valve (sphincter) bladder. Such operations are performed after prostatectomy, when sphincter insufficiency, and pelvic after traumatic injury. Implant closes the urethra up to the moment when the patient is ready to produce urine.
2. Collagen injections. Such operations give a good effect, but the disadvantage of this method is its temporary nature due to resorption of the material injected.
3. Installation maintenance of synthetic mesh for the urethra. As technology improves the effect of such operations is close to 80-90%.

Methods of traditional medicine

Treatment with natural resources can only be an accessory, i.e. accompany the main treatment, and only after consultation with your doctor. Here are some recipes that you can use:

1. Pour two teaspoons of psyllium boiling water, wrap and let it brew for a few hours. Drain the resulting broth and take one tablespoon of half an hour before meals three times a day.
2. One tablespoon of sage zaparte cup of boiling water, let stand until cool, strain and drink half a cup of morning and evening for half an hour before meals.

You can also use ready-made homeopathic medicines that are sold in pharmacies - "Enuran", "uril", "Super Optimal" (by injection).

Recommendations in the image of a man's life and possible prognosis

Derive a general formula for success is extremely difficult in the treatment of male incontinence. In some cases, may help elementary measures, for example, regularly doing physiotherapy exercises, and in some cases, surgery may not give the desired effect. It all depends on the cause of the development of the disease. While the patient to adapt to the problem and live a full life.

To date, there are many tools to help men improve their quality of life. To do this, there are absorbent pads / inserts for linen, mesh panties to fix the gaskets, light absorbent disposable panties application, and in severe cases - diapers and urinals, diverting the urine in a plastic sealed container which can be hidden under clothing. All absorbing means comprise a special sorbent that provides protection against odor and leakage, protecting the skin from maceration and bacteria.

Some useful tips for men on how to hygiene:

• do not cut the amount of fluid intake - this has no effect on incontinence, but only increase the concentration of urine, which will be stronger than the smell and irritate the skin;
• Try to visit the toilet at regular intervals;
• Do Kegel exercises;
• immediately at the first opportunity for me to moisten the linen;
• regularly wash the skin in the groin area and lubricate it with a protective cream or use baby powder.

What can be done to prevent the disease?

In order to minimize the risk of incontinence for men to be observed for the prevention of simple rules:

• limit consumption of coffee and strong drinks;
• watch weight;
• stop smoking;
• monitor the functioning of the intestines, preventing constipation;
• timely and completely empty the bladder - to tolerate the urge to urinate can not in any case;
• do exercises that strengthen the pelvic floor muscles.

Upon detection of signs at many male incontinence come in confusion because they have come to associate the disease only with the aging. But do not despair! Modern medicine is able to offer a variety of methods to get rid of the disease. The main thing - time to seek help from a doctor.

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Clinical manifestations

Whatever the reason the symptom of the disease in any form of same - involuntary urination which a man is unable to keep, control.

Stress incontinence can be foreseen in advance, avoiding heavy lifting, preventing coughing, laughing.

Urgency is not subject to the power of the will, are urgent (sudden) character, not associated with any specific reasons. Characterized by frequent urination at night.

Signs of bladder overflow occur:

• sudden need to urinate;
• despite the feeling of overfilling, the release of urine in small portions;
• weak, relaxed, intermittent stream;
• concomitant pelvic muscles strain to urinate;
• increased urinary dream;
• the occurrence of acute urgency.

If a man has lost a long time in the toilet - you need to check it at the doctor-urologist

General and related symptoms

Manifestation of incontinence man perceives as an additional stress, the rate of helplessness. There are common symptoms of a nervous breakdown:

• changing behavior, the person becomes irritable, intolerant;
• disturbed sleep because of the fear of night incontinence and frequent urinary urgency;
• at work it is impossible to go on business, we have to be closer to the toilet;
• She refuses intimacy;
• several times a day, I'm a coward.

Headaches, loss of appetite, trying to not drink water and tea may indirectly indicate a problem with urination.

Given comorbidities simultaneously possible:

• paresthesias (numbness or "goose bumps" on the skin) in the buttocks, legs;
• lower extremity weakness in the muscles;
• chilling, a low temperature;
• vague abdominal pain, suprapubic or low back;
• cramps and burning during urination;
• constipation;
• a significant decrease or increase in the daily urine volume without receiving diuretics.

When such symptoms men should consult a doctor. If shyness can not talk with the doctor-woman, it is possible to find an experienced urologist man in private clinics. Prescribed treatment in the early stages gives a good result. In addition, men need to get expert information on the use of health products: the use of special pads, diapers male.

How doctors diagnose the disease

The diagnosis is important to identify not only the urinary incontinence, but also its cause. To determine the frequency of urination doctors recommend to keep a record, a kind of diary, which should be reflected in the daily amount of fluid you drink, the number of acts of urination, cases incontinence.

Analysis of urine can judge the presence or absence of inflammatory diseases in urinary organs (leucocyturia, bacteriuria, protein) diabetes.

The blood biochemical tests are of interest, indicating the excretory renal function (creatinine, urea, protein).

With the help of ultrasound receive information about the structure of the kidneys and bladder, the presence of stones, congenital anomalies, tumors of the prostate.

Objectively, the doctor will see if urinary stress test, suggesting the patient to cough.

The most revealing urodynamic tests to assess:

• detrusor contractility;
• sphincter bladder neck and urethra.

In practice, the use of three types of tests:

• Uroflowmetry - technique determines the total amount of urine, the flow rate, the time from start until complete emptying urinary bladder;
• metering a residual volume of urine after urination act completed is carried by a catheter or ultrasound;
• pressure measurement inside the bubble and its effects on urine flow rate is used to detect a reduced volume of the cavity (if the tumor).

Remedy

Treatment of urinary incontinence in men begins with a frank interview and clarify problems. Often ameliorated failure patients from drinking alcohol, smoking, limiting fluid intake, normalization mode of the day, the organization sufficient rest.

physical training

Perform special Kegel exercises on the pelvic floor muscles will require effort, but they are well justified by the moral satisfaction. Initially, exercise course was designed by American gynecologist Alfred Kegel for women with urinary problems. In actual use, proved their effectiveness in the treatment of male sexual dysfunction.

• Train pubococcygeus muscle (it can be felt when you try to interrupt urination) can improve the tone of the pelvic organs, to restore nerve and blood supply.
• The author calls do reduce perineal muscles clenching and relaxing them. Should start with 30 times, then gradually increase, one day is necessary to reach 300 cuts.
• Simultaneously it is necessary to train during urination, trying to delay the stream.
• Kegel believes that getting extra energy in the pelvis, the patient must be mentally send it up to the brain. This meditation helps restore broken links, improve the overall quality of life of men.

preparations

Drugs are selected for each patient individually considering portability, concomitant diseases, age, causes pathology.

Group blockers - is indicated for detecting enlarged prostate, causing an overlap of the urethral canal. Representatives used in urological practice:

• terazosin,
• Uroksatral,
• Tamsulosin.

Known antispasmodics (Platifillin, No-spa, Drotaverinum) some patients can help reduce spasms.

Drugs group 5 -? - reductase - blocking the synthesis of male hormones that affect the growth of the prostate gland. The prostate is reduced to normal size. representatives:

• • dutasteride,
  • Finasteride.

Use of the preparation of a series of antidepressant Tofranil (imipramine) promotes blocking spazmiruyutsya pulses coming to the bladder.

Introduction of Botox in the detrusor muscle of the bladder thus relieving hyperactivity and prevent spastic contractions.

neyromodulirovaniya method

The technique used in the absence of the effect of the tablets or in the combined treatment. Most indicated in the imperative form of incontinence. The essence of the therapeutic effects - the use of electrical stimulation to restore the damaged nerve connections. Use 2 kinds of therapy:

• peripheral neuromodulation - at the ankles is set small needle, the electrode connected thereto. A pulse is applied to the sacral endings on the trunk of the tibial nerve (transcutaneous stimulation).
• sacral - in the region of the sacrum implanted special electrode acting directly on the sacral nerve endings.

For the pelvic floor muscles, pump useful breeding and information knees in this position

With surgeons

Surgical methods are most often used in cases of traumatic injury of the bladder and spine.

If bladder function completely lost, it is possible to create an artificial channel to drain urine through the plastic part of the intestine, its connection with the urethra. The first step is the formation of a stoma - derivation therethrough of urine on the front abdominal wall for collection in the urine collection bag.

The artificial sphincter - a device that plugs into the urethra and closes the passage until urination by the patient. The technique is suitable for patients with a clear dependence of the urinary sphincter function. When other problems is inefficient.

Are the "grandmother's recipes"

Cure incontinence among folk remedies impossible. We advise you not to pay attention to these ads. Credulity will only lead to delays in the start of therapy. However, the doctor may recommend acceptance of herbal remedies in the form of decoctions for the rehabilitation of the urinary tract, preventing inflammation and congestion.

Healing properties are:

• • • sage,
    • yarrow,
    • carrot juice,
    • blueberries,
    • Dill seeds.

The raw material is poured boiling water and insist in a thermos at least two hours. Ready broth consumed 2-3 times a day, the amount taken into account when calculating the amount of fluid you drink.

to support hygiene products

To support the clean external urinary organs, skidding cowards and prevent infection to the man you need to use special urological pads or diapers. They can be purchased at the pharmacy.

The released urine absorbed into the pad and becomes gel form. No odor. Change must be on an individual schedule.

Grommets are fixed to the surface of the adhesive melts.

It is available for men such forms as:

• diapers and diapers (fixed to the waist belt special);
• Disposable underpants, pants, skirts.

Depending on the selected volume, you can select the appropriate type (labeled as "two drops", "three drops")

What can we expect and what to fear?

The lack of treatment leads man to a nervous breakdown, causes mental disorders (feeling of inferiority, isolation). Patients exposed to:

• • • inflammatory diseases of the urinary system;
    • skin infections and suppuration in the groin and external genitalia.

When regenerative therapy can be guaranteed to talk about improving the condition, prevention of cystitis, urethritis and pyelonephritis.

Men need to be reminded that the treatments and drugs are readily available. It is enough to visit a doctor and talk about issues of concern. Timely assistance will help maintain an active life at any age.

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Hygiene for male incontinence

Urinary incontinence in men did not belong to the natural elements of the aging process, although this condition is often correlated with age. When certain forms of uncontrolled urination help elementary exercise that It should be performed on a regular basis, but as a rule, patients have to deal with the root causes of the considered Problems. In any case - you must learn to live the most fulfilling life. To do this, men suffering from incontinence, have to apply for the period of treatment in urology hygiene and follow some recommendations.

The basic hygiene products for male incontinence are:

• Urologic liners (lining) of the anatomic form at the drip, mild to moderate incontinence
• Reticulated elastic fitting panties to secure the pads (pads)
• Disposable diaper pants with moderate to severe urinary incontinence
• Diapers for adults with severe and very severe incontinence

The basis of the individual absorbent (absorbent) urological hygiene superabsorbent is capable of binding liquid in a ratio 1:50. In addition, in the hygiene products includes fluff (passed various processing methods) cellulose, polyethylene and polypropylene films. Combinations of these materials may be different, but must meet the following conditions:

• quality absorb and retain urine,
• odor and protect against percolation,
• stealth and comfort,
• skin protection from damages (stimulation), maintaining the optimal level of acid-base balance of the skin (pH 5.5)
• antibacterial protection.

Some of the recommendations for men with urinary incontinence:

• save the required volume of fluid intake (2 L) and in any case not reduce its pretext incontinence as increased the concentration of the urine will lead to substantial irritation of the mucosa and skin, and fluid intake is not related to the problem urinary incontinence;
• Observe the usual mode of emptying your bladder by using a timer if necessary - visit the toilet at least once every 2 hours;
• regularly spend sphincter muscles Bladder training for Kegel system;
• home wet laundry to dry immediately change;
• in severe and very severe incontinence consider using special systems urinals to drain urine, comprising a tip on the penis (such as condoms), shunt tube, a reservoir for urine, fixed on the thigh or shin; watch out for the level of urine in the drainage bag, do not forget it as often as possible to wash and disinfect;
• try twice a day to wash away the skin in the groin and then carefully wipe it and lubricate special protective cream or vaseline, vegetable oil, baby cream, powder skin powdering.

https://www.kp.ru/guide/nederzhanie-mochi-u-muzhchin.html

Additional treatments for incontinence

You always want to take all possible measures to accelerate recovery and improve the effectiveness of treatment. In the search for additional methods of struggle with incontinence should not trust the people's recipes: they not only can not help but harm. Strictly adhere to the recommendations of the attending physician. As additional measures doctor may prescribe sedatives or restorative herbal and give a list of recommendations to improve the control of urination. Other additional measures that are useful for incontinence:

strengthening muscles

Improving the tone of the pelvic floor muscles with the help of special exercises can help control urination. A suitable set of exercises to train the pelvic floor muscles are called Kegel exercises. Systematic training of this group of muscles helps in the prevention or improvement of incontinence in men.

drinking schedule

Better control of the process of urination will help compiling personal drinking schedule. The amount of liquid that you plan to take during the day, is divided into several stages. After each oral fluids is absolutely necessary to visit the dressing room, even if you had a drink of water at night. Since the bladder gets used to a certain rhythm of work, making it easier to control his movements.

https://id-direct.ru/articles/prichiny-i-lechenie-nederzhaniya-mochi-u-muzhchin/

incontinence treatment in men

When the first symptoms of urinary incontinence, some men lose heart - require emergency surgery, want to just "go under the knife." But there are other treatments for prostate hypertrophy, causing incontinence in men. However, not all of them are suitable for any man, and sometimes have to choose the method of trial and error.

• Physical exercise.
• Of drugs. There are drugs to strengthen the muscles of the urethra, reducing the prostate, as well as to relieve tension of smooth muscles.
• Incision. Now developed a technique incision of the bladder neck in order to normalize the flow of urine.
• Ultrasound. This method also is under study and is crushing the expanded tissue by means of ultrasound and its suction aspirator.
• Microwave. This method is used to remove the expanded tissue by heating it with microwaves.
• Temporizing. In some cases, after the survey of the patient's condition improves or at least stabilized. The reason for this phenomenon is unknown.
• Some urologists recommend their patients not last three methods, especially since some of them are still being developed. Too great a risk of kidney damage. The choice of treatment depends on the degree of hypertrophy of the prostate.
• Balloon expansion of the urethra is carried out in Urology, just as for the expansion of the vascular lumen using an angioplasty. In the urethra via a small balloon catheter is introduced. Then the balloon is filled with fluid under pressure, which causes expansion of the channel. Manipulation lasts 30 minutes and is done on an outpatient basis. A catheter is left for a few days. Many urologists believe that preoperative biopsy is necessary to rule out the possibility of cancer. Balloon plastic urethra is contraindicated in progressive enlargement of the prostate gland. Balloon and administered into the rectum. It is placed next to the prostate gland. In the inflated state, it removes the prostate from the bladder. This operation is also quite simple and can be done on an outpatient basis. Plastic balloon as prostate treatment method promises a lot. Operation safe, painless, avoiding high costs and hospital stays and does not cause reverse ejaculation. In 50-80% of men very quickly start to improve. However, while weakness of this method is that a relatively large number of relapses. It is not enough patient man who can not do regular exercise or change your lifestyle immediately resolved to channel resection.

Some doctors believe surgery is the best method, because there is a risk of complications, albeit slight. Once enlarged prostate surgery was very complicated, and the recovery period - painful and time-consuming. Operated patients often permanently lost their potency.

Now the so-called channel resection of the prostate is carried out quickly and almost no side effects. The operation lasts about an hour. The patient can eat in the evening or the next morning. The catheter remains in the bladder for two days, and after removing the patient is discharged. Within a few days it can be a little dribble urine. The operation has no harmful effects on sexual activity. If an erection before surgery goes well, the ability for it to continue. It is not broken and the function of the testes.

During orgasm, there is no ejaculation, but the feeling of pleasure is the same. The fact that the sperm accumulates in the right place, but during ejaculation is thrown to the bladder. This process is called reverse ejaculation, which is a cause of infertility, but in old age problem of procreation is hardly relevant. And if it is relevant - it is possible to resort to artificial insemination.

channel resection

Yet channel resection of the prostate is sometimes undesirable consequences. According to some estimates, 6% of the operated suffer from impotence (25,000 men each year). In 2000-4000 men observed incontinence. 10% over the next 10 years requires repeated operation as the prostate begins to increase again. Some prostate tissue of men too hard and fibrous. In these cases, channel resection of the prostate is not possible, you need to complete removal of the prostate.

https://medportal.ru/enc/urology/enurez/5/