Male Incontinence

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Male incontinence is more common than you might think.

As experienced urologists, we hear all too often of its distressing and significant impact on men’s quality of life, confidence and self-esteem. Fortunately, there are a range of treatments available to help.

Symptoms of Male Incontinence:

Stress Incontinence occurs when urine leaks out during physical activity or exertion, such as lifting weights or sneezing.

Urge Incontinence is characterised by a sudden and strong need to urinate, often accompanied by leakage, if you can’t get to the toilet in time.

Overflow Incontinence is when the bladder doesn’t empty completely and urine leaks out as a result.

Who is affected by male incontinence?

Incontinence can affect men of all ages, but it is more common in older men. Other factors that can increase the risk of incontinence include prostate cancer treatment, such as prostatectomy or radiotherapy, obesity or diabetes. Incontinence can have a significant impact on a man's quality of life, affecting self-esteem, social interactions and daily activities. Many men feel embarrassed or ashamed of their condition, which can lead to isolation and avoidance of social situations. Incontinence can also interfere with work and leisure activities, causing frustration and a sense of loss of control.

What causes male incontinence?

Incontinence can be caused by a variety of factors, including pelvic surgeries, radiation treatment, nerve damage, weakened muscles and prostate problems. In some cases, the underlying cause of incontinence may be difficult to determine. A common cause is prostate enlargement (BPH).

Prostate Enlargement (BPH)

Treatment options for male incontinence

The good news is that male incontinence can be treated and there are many options available.

Treatment options vary depending on the type and severity of incontinence, but may include pelvic floor exercises, medication, surgery, or sometimes a controlled drainage system.

Pelvic floor exercises can help strengthen the muscles that control urine flow.

Medications may be used to relax the bladder or prostate muscles. In some cases, a catheter may be used to drain urine from the bladder.

If non-surgical treatments are insufficient, surgical options may be recommended as detailed below.

Surgical Treatment Options for Male Incontinence

The most appropriate treatment option for male incontinence will depend on the severity of the condition, the underlying cause and individual patient factors. Our urologists are experts in prosthetic surgery: they will work with you to determine the best course of treatment for your specific needs.

Artificial Urinary Sphincter (AUS)

This is a small, fluid-filled device that is surgically implanted around the urethra. The device includes a cuff that can be inflated or deflated using a small pump placed in the scrotum to help control urine flow. The artificial urinary sphincter is a highly effective treatment for men with moderate-severe stress urinary incontinence.

ATOMS Sling

The ATOMS features an adjustable cushion with a sling for mild to moderate urinary incontinence The Adjustable Transobturator Male System (ATOMS) involves the insertion of a sling around the urethra to help support the bladder and improve control over urination. The sling can be adjusted after the initial surgery to fine-tune its effectiveness.

Male Slings

Male slings are often used in men with mild to moderate incontinence. They’re designed to support the urethra and do not need major surgery - often a single night stay only is required and the recovery is reasonably quick.

Talk to One of Our Urological Surgeons

If you’re experiencing incontinence, it is important to seek medical attention from a qualified expert urologist. With the right treatment, you can enjoy improved urinary function and an improved quality of life.

Don’t let male incontinence hold you back from the activities you enjoy. Schedule a consultation with us today to discuss your options.

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