Understanding the Different Types of Prostate Problems
Frequent urination, an overwhelming urge to urinate, difficulty urinating, and urinary leakage are uncomfortable symptoms that can be treated, once the underlying cause is found. Conditions associated with urinary incontinence include:
- prostatitis ( an inflammation of the prostate gland)
- enlarged prostate gland
- urethral stricture
Types of Male Incontinence
Bothersome symptoms and urinary incontinence fall into several different categories. Understanding what type of urinary incontinence you are experiencing is an important first step in diagnosing and treating the underlying problem. Expert evaluation can rule out a simple cause, such as a urinary tract infection, and help to determine if you will benefit from non-invasive treatments or medications. More sophisticated imaging can determine if surgery is required.
- Stress incontinence is urinary leakage during physical activity, coughing, laughing, or sneezing.
- Urge incontinence occurs when you feel an immediate sense that you have to go, but 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.
Enlarged prostate, also known as benign prostate hyperplasia (BPH), is a common problem among older men. As the prostate enlarges, it squeezes the urethra which affects the flow of urine. Symptoms include urinary leaking or dribbling and frequent urination, especially at night.
Urethral stricture refers to the presence of scar tissue that narrows the urethra that prevents the normal flow of urine. Doctors often use the analogy of a clogged pipe. A urethral stricture can be painful and is often misdiagnosed. Some urologists may recommend a dilation or urethral incision to widen the urethra. However, the American Urological Association guidelines indicate reconstructive surgery provides the best, long-term outcome for this structural concern.