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Urinary incontinence in men

Source: Gezondheidsplein.nl

 

How does involuntary urine loss in men occur?

Although more women have incontinence problems and they are often younger than men when they experience them, incontinence is also common in men. One in five men experiences involuntary urine loss, both short and long periods.

What causes incontinence problems in men?

  • Prostate problems: Difficulty, slow or poor urination is a common symptom of prostate conditions such as enlarged prostate or prostate surgery.
  • Urinary tract infection: An infection can be dangerous and should therefore always be treated with antibiotics.
  • Old age: Due to conditions like forgetfulness and dementia, you can lose control of your bladder and bowels. Furthermore, vital bodily functions can decline as you get older.
  • Medication: Some medications have (temporary) incontinence as a side effect.
  • Mental health: Depression and illness can lead to incontinence.
  • Poisoning: Excessive alcohol consumption is one of the most common causes of urinary incontinence. Other poisonings, such as dangerous insect bites, can also cause incontinence.
  • Brain or spinal cord disease: Damage to your brain or spinal cord can cause you to lose control of your bladder and bowels. This can be temporary or permanent, depending on the severity of your condition.

Dribbling after a normal bowel movement

"Post-micturition dribbling" is when, after urinating, your bladder appears to be empty, you still leak a small amount of urine. This is medically termed post-micturition dribbling (PMD). It usually occurs after urination when the penis is reinserted into your pants. The result is wet and stained clothing. This is because the urethra (the tube that runs from the bladder to the tip of the penis) isn't completely emptied by the surrounding muscle. This occurs in 1 in 5 men aged 30 to 80.

Other forms include stress incontinence, urge incontinence, and overflow incontinence.

Stress incontinence : Stress incontinence is also called stress incontinence. Stress refers to the physical pressure in the abdominal cavity (so it has nothing to do with the psychological stress of daily life). This pressure can occur, for example, during laughing, sneezing, coughing, or exercising. The resulting pressure can cause you to leak drops or squirts of urine.

Urge incontinence : When you need to urinate, you have to run to the toilet in time, and sometimes you don't make it in time. In this situation, the bladder is called overactive bladder.

Overflow incontinence : The bladder can no longer empty completely, causing it to overfill and resulting in urine leakage. This can be caused by a narrowing of the bladder neck or urethra, excessive pelvic floor muscle tension (restraining behavior), or a bladder prolapse.

It's important to use the right incontinence products to prevent skin problems. UnderWunder is an excellent aid for stress incontinence.

Cause of stress incontinence

During physical exertion, coughing, sneezing, or exercise, the pressure in the abdominal cavity increases, and therefore also the pressure in the bladder. As a reflex, the pelvic floor muscles and sphincters contract, closing off the bladder and urethra. This prevents urine leakage. The pelvic floor muscles, with surrounding tissue, support the urethra and keep it and the bladder, with its sphincters attached to the bladder neck, in place. With stress incontinence, the pelvic floor muscle support is lacking, so the connection between the bladder and its sphincters at the bladder neck and the urethra is no longer optimal. If pressure then builds up on the bladder, this causes stress incontinence.

 

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