Unintentional loss of urine can be embarrassing and may also be a sign of a more serious concern. If urinary incontinence is affecting your daily activities, a Duke urologist can help determine the underlying cause and recommend a treatment to help you get back to the lifestyle you enjoy.
Types of Male Incontinence
There are many types of urinary incontinence. Knowing which type you are experiencing will help your urologist diagnose and treat your underlying problem.
- Stress incontinence is urinary leakage during physical activity, coughing, laughing, or sneezing.
- Urge incontinence occurs when you feel an immediate need to urinate and release urine before you reach the toilet.
- Mixed incontinence is a combination of stress and urge incontinence.
- Overflow incontinence is urinary leakage that occurs because your bladder never empties. This may signal the presence of an enlarged prostate or urethral stricture.
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Testing for Male Incontinence
Urinary incontinence in men may be due to an enlarged prostate or prostate cancer treatment. It can be a sign of nerve damage or injury, diabetes, stroke, or multiple sclerosis. Because there are many potential causes, your doctor will conduct an extensive medical evaluation and gather details about your medical history. The following tests may be performed to help your doctor identify the best treatment for your condition.
A urine test checks the appearance and acidity of your urine and looks for any abnormal substances like blood or too much protein. It can identify or rule out a bladder infection as the cause of your symptoms.
Post-Void Residual Urine Test
After you urinate, your urologist uses an ultrasound to see how much urine is left in your bladder. This can indicate if a blockage is present.
During this urodynamic test, your doctor inserts a catheter through your urethra to measure pressure in your bladder and abdomen. This test can indicate how well your bladder stores and releases urine.
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Conditions Related to Male Incontinence
Benign Prostatic Hyperplasia (Enlarged Prostate)
Side effects of an enlarged prostate can make your bladder overactive, which in turn may cause urinary incontinence. Your urologist may conduct a urine test and rectal exam to check your prostate and get a more complete idea of what’s causing your incontinence.
A urethral stricture can make it difficult to empty your bladder and affect your ability to urinate in a controlled way. Sometimes surgical repair of an urethral stricture also causes incontinence.
Why Choose Duke
Experts in Reconstructive Urology
All Duke urologists who treat male incontinence are board certified and have undergone years of advanced training in reconstructive urology. Our team provides expertise in understanding your incontinence symptoms and offering personalized treatment.