Male incontinence and related prostate problems

Treatment for Incontinence, enlarged prostate, urethral stricture

Incontinence and prostate problems that affect urinary flow are common among older men, but they can often be cured or improved with the right treatment. Duke’s men’s health specialists are urologists with years of experience diagnosing the causes of male incontinence and related prostate problems. We recommend the medication, behavioral therapy and/or treatment that gives you the relief you seek.

Obtain an accurate diagnosis for male incontinence symptoms

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, which is an inflammation of the prostate gland, an enlarged prostate gland, and urethral stricture. Male incontinence may also be a side effect of prostate cancer treatment, or a sign of nerve damage or injury, diabetes, stroke, and multiple sclerosis

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 and 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.

Why choose Duke Urology for treatment of male incontinence

  • Our program is nationally ranked. Our urology program is ranked among the nation’s best by U.S. News & World Report, and our doctors are consistently recognized for their experience and expertise.
  • You benefit from a team of specialists. As a major medical center, we work closely with other specialists when male incontinence symptoms signal other medical concerns. Likewise, because procedures such as urethral stricture surgery are complex, you benefit from our collaborative medical teams, which include experts in reconstructive urology, plastic surgery, colorectal surgery, and other specialists, as needed.
  • You receive an accurate diagnosis. We perform a comprehensive evaluation and use advanced imaging techniques and diagnostic equipment to accurately diagnose the cause of your prostate problem.
  • We are experts in reconstructive urology. Duke is a high-volume, regional referral center for people who need reconstructive urologic surgery. Duke has been at the forefront in training doctors in this subspecialty of urology for more than 30 years. All of our urologists who treat male incontinence and prostate problems are board certified and have undergone years of advanced training to complete their fellowships in reconstructive urology.
  • We achieve high cure rates and low complication rates for urethral stricture. Our use of modern surgical techniques, sophisticated tools and equipment, and our skill and training are the reasons why our surgeries are so successful.
  • We help men who have failed previous urethral stricture treatments. Many of our urethral stricture patients are referred to us or seek our care after multiple failed attempts at treatment. Often this results from being diagnosed without proper diagnostic imaging, or because they were unaware they could benefit from a single surgery that has a 98+% cure rate.
  • You have access to our convenient locations in Raleigh and Durham. You can make an appointment with a board-certified urologist at one of our convenient locations: Duke Urology of Raleigh, Duke Urology Men's Health Center in Raleigh, or Duke Urology in Durham.

Male incontinence treatments

We personalize your male incontinence treatment by first identifying the symptoms that are most bothersome to you. A variety of non-invasive options may be recommended to improve your quality of life.

Enlarged prostate and urethral stricture treatments

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