Bladder weakness - what men need to know

Bladder weakness - what men need to know

What can one (s) do to keep it close down?

Men and women are equally affected by bladder weakness

Although urinary incontinence is a common disease concrete conclusions about the incidence is difficult. The reason might be, inter alia, the great underreported because urinary incontinence is still a taboo subject. This explains why probably take only 15% of those affected seek medical help. The incidence of bladder weakness lies in the male population at around 10%, although there are significant differences in the different age groups here.

  • The main risk factor for men to develop a bladder weakness, is age. As a young man, you will never develop urinary incontinence until the age of 40.
  • From age 60, the risk of bladder weakness for you increases. The reasons are prostate disease in the first place. Around 8% of men and 20% of women develop uncontrolled urine loss in this age group.
  • From the age of 70 your risk of incontinence increases significantly, because then about 30% of all men are already affected. This is primarily because make in addition to prostate diseases, the aging of the bladder noticeable. The incidence of urinary incontinence in men is the same as for women in this age group.

Types of urinary incontinence in men

As a weak bladder or urinary incontinence refers to involuntary leakage of urine or uncontrolled. Incontinence is not strictly a disease, but a symptom, the different underlying causes.

  • When stress incontinence causes physical exertion that you without the sensation of urination lose your urine. Triggers may include cough, sneezing, laughing and physical activity. This form of urinary incontinence was formerly known as "stress incontinence" and is due to a disturbance of the urethra, the safer closure is no longer guaranteed. Stress incontinence can develop if you have undergone due to prostate enlargement or prostate carcinoma an extended prostate surgery.
  • When you feel a sudden urge incontinence urination, which is so intense that you can not suppress it and it comes to accidental urination. The reason is the uncontrolled contraction of the muscles in the bladder, which we normally only operate if we want to empty your bladder aware.
  • The urine loss in urge incontinence independent of the filling your bladder develops and has nothing to do with an over-full bladder. Typical are the symptoms of overactive bladder, which means that you often lose small amounts of urine, which is repeated several times during the night.
  • The uncontrolled contraction of the bladder muscles for urge incontinence is often caused by neurological diseases. You can develop this form of urinary incontinence if you have, for example, suffered a stroke, suffering from Parkinson's disease or multiple sclerosis. Also, diabetes mellitus, chronic cystitis and chronic alcohol abuse may be the cause.
  • When overflow incontinence, the bladder is permanently filled with urine and can not be emptied controlled. Like an overflowing vessel then you will lose the urine dropwise. Typical are a frequent urge to urinate, small amounts of urine during urination and persistent feeling of not completely emptying the bladder.
  • An overflow incontinence can develop if you suffer from prostate enlargement or narrowing of the urethra and the bladder needs to be emptied against increased resistance. Other causes are a weakness of the bladder muscles and spasms of the pelvic floor muscles.
  • Statistically, you will suffer as a man likely to urge symptoms, as that is more than 90% of all men with bladder weakness of the case. Women with bladder weakness, however, develop stress incontinence in 75% of cases.

Basic studies for bladder weakness

The primary consultant for a bladder weakness is the family doctor who either performs the clarification of the problem itself or refers to a urologist.

  • If you suffer from bladder weakness, you do not need to be ashamed of your doctor. What you learn here in the article about the weakness of the bladder in men, your doctor is not new. He will tell you that you are not the only man in the world with this problem.
  • Your doctor can with a few questions to clarify already exists which form of urinary incontinence in you. If you lose, for example, with a cough urine, which is a sign of stress urinary incontinence.
  • If you are taking medication regularly, these need to be discussed. Numerous active ingredients promote urinary incontinence, either as a side effect of different preparations, or as an interaction with each other. These include beta blockers, antidepressants, tranquilizers and diuretics, but also non-prescription medicines.
  • For a physical examination in men heard a palpation of the prostate. To this end, the doctor inserts a finger over the anus, the prostate can scan and assess in terms of size, induration or nodules. The investigation is certainly not pleasant, prepares but usually no pain and can be done in no time.
  • For basic diagnostics include a Miktionsprotokoll. When voiding to empty the bladder is called medically. In the protocol need to do anything other than write down your daily fluid intake and urinary frequency including your urine output over several days.
  • Probably a pad or pad test comes back to you, with the severity of your bladder weakness can be estimated. This, you enter in your panties a template and have for example 100 steps to rise 10 times cough vigorously or hop on the spot a minute. The template is weighed before and after the test, so that the uncontrolled culled amount of urine can be estimated.
  • At the laboratory investigations is first carried out a urine test as part of the diagnostic assessment. This makes it possible to ascertain whether any inflammation caused your bladder weakness.
  • The next stop is an ultrasound of your abdominal organs. Main focus is the determination of residual urine, which provides information about whether you can completely empty the bladder during urination controlled. Stay back after urination urine in the bladder, your doctor can see this in the ultrasound examination.

Treatments of urinary incontinence

Depending on the cause and type of bladder dysfunction and their characteristics different treatment options can be considered.

  • In younger men do changes in lifestyle positive effect on the degree of urinary incontinence. In particular, the reduction of overweight often improves surprisingly well the incontinence problem. If you suffer from obesity, weight normalization is a primary goal.
  • You should avoid drugs that increase urine production as a side effect. These include alcohol and nicotine.
  • With urge incontinence, you can increase the capacity of your bladder by a bladder training. At a fixed schedule that you set together with your doctor, the bladder should be emptied - regardless of whether or not there is need to urinate.
  • Performs bladder training for you at an only unsatisfactory results, possibly a drug treatment can be tried. The prescription drug acetylcholine able to improve bladder function, but the dropout rate is due to the side effects - most commonly dry mouth, constipation and itching - relatively high.
  • If you have an enlarged prostate before, which already leads to voiding disorders and in particular for residual urine of more than 100 milliliters, you are a surgical procedure hardly get around. Modern surgical procedures are carried out through the urethra, nowadays lead to very good results.
  • When stress incontinence you will recommend a pelvic floor muscle training to support the closure mechanism of the bladder by the pelvic floor muscles. Extremely important, however, is that pelvic floor exercises are learned under qualified supervision. Pelvic floor exercises on their own and with insufficiently trained personnel has low success rates. Contact options for qualified physiotherapists can be brought, among other things, the German Continence Society in experience.
  • Speaks stress incontinence insufficient to systematic pelvic floor training on, and operational measures are eligible. Your goal is to stop the uncontrolled urine leakage. Which procedure applies in question can be answered only in a medical interview welcoming the various test results with you.
  • Can the bladder weakness - for whatever reason - can not be fixed, you should attach importance to a good supply of incontinence aids. These include, for example, templates are also available for men, and condom-like urinals that capture the explosion from escaping urine. On the website, men can supply quickly and discreetly with all the important information.

Preventive measures to avoid loss of urine

Through preventive measures diseases can be prevented or reduced in severity. This is also true for bladder weakness.

  • In addition to your age are the main risk factors for bladder weakness of diabetes mellitus and obesity. Do you suffer from diabetes, you should ensure that medical assistance with the sugar levels are always well controlled.
  • Proceed to your excess weight. This will help prevent not only a weak bladder before but also cardiovascular and metabolic diseases such as diabetes mellitus.

The text does not replace medical advice.

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