How to deal with male incontinence

How to deal with male incontinence

Male incontinence is a condition that affects a small percentage of men. While it can be embarrassing, it is important to remember that you are not alone and effective treatments are available. This guide will provide information on the causes, symptoms, and treatment of male incontinence.

Causes of male incontinence

There are many causes of male incontinence, and it is important to understand what is causing your incontinence before you can treat it. Male incontinence can be caused by an overactive bladder, weak pelvic floor muscles, an enlarged prostate, or nerve damage. Talk to your doctor to find out what is causing your incontinence so you can get the proper treatment.

Enlarged prostate

The prostate is a small, walnut-shaped gland that is part of the male reproductive system. It is located in front of the rectum and just below the bladder. The prostate’s main function is to produce fluid (semen) that nourishes and transports sperm.

As men age, the prostate gland gradually enlarges. This condition is called benign prostatic hyperplasia (BPH). An enlarged prostate can cause urinary problems, such as urinary frequency, urgency, hesitancy, and dribbling. In some cases, BPH can lead to incontinence.


Certain medications, such as diuretics (water pills), can lead to incontinence. Diuretics work by helping the kidneys get rid of extra fluid in your body. This extra fluid can be in the form of urine or stool.

Weak pelvic floor muscles

One common cause of male incontinence is weak pelvic floor muscles. These muscles support the bladder and help keep it closed. If these muscles are weak, they may be unable to keep the bladder closed, resulting in leakage.

Several things can weaken the pelvic floor muscles, including:


-Pregnancy and childbirth

-Prostate surgery

-Conditions that cause damage to the nerves that control the muscles, such as diabetes or multiple sclerosis

If you have any of these risk factors, talk to your doctor about ways to reduce your risk of incontinence.

Nerve damage

When nerves are damaged, they can’t send the right signals to the muscles that control the bladder. This can cause incontinence. Nerve damage can be caused by various things, including diabetes, multiple sclerosis, Parkinson’s disease, surgery, and injury.

Treatments for male incontinence

Many treatments are available for male incontinence, and the best course of treatment will depend on the underlying cause. If the incontinence is due to an underlying medical condition, treating the condition will often resolve the incontinence. If the incontinence is due to weakened pelvic floor muscles, pelvic floor muscle exercises may be recommended. In some cases, medications may be prescribed to help control incontinence.

Pelvic floor muscle training

Pelvic floor muscle training (PFMT) is a type of physical therapy. The pelvic floor muscles support the bladder and help keep it closed. PFMT strengthens these muscles so they can do their job better.

PFMT is also called Kegel exercises. Kegel exercises were developed in the 1940s by Dr. Arnold Kegel. He found that women who did these exercises were less likely to have urinary incontinence after childbirth.

Today, both men and women can benefit from doing Kegel exercises. PFMT is an effective treatment for male incontinence, especially stress incontinence.

To do PFMT, you must know how to find and contract your pelvic floor muscles. These muscles are located between your legs, just behind your scrotum and anus (back passage). To find them, try to stop the flow of urine mid-stream a few times in succession. The muscles you use to do this are your pelvic floor muscles. You can also put a clean finger in your rectum (back passage) and feel the muscles tighten around it when you contact them. Once you’ve found your pelvic floor muscles, you can do the exercises anywhere – sitting, standing, or lying down.


There are a variety of medications that can be used to treat male incontinence. The most common medications are:

-Anticholinergics: These drugs work by blocking the action of acetylcholine. Acetylcholine is involved in the contraction of the bladder muscle. Anticholinergic drugs include oxybutynin (Ditropan), tolterodine (Detrol), trospium ( Sanctura), and darifenacin (Enablex).

-Alpha-blockers: These drugs relax the bladder, neck, and urethra muscles. This allows urine to flow more easily. Alpha-blockers include alfuzosin (Uroxatral), doxazosin (Cardura), tamsulosin (Flomax), and terazosin (Hytrin).

-Beta-3 adrenergic agonists: These drugs work by relaxing the bladder muscles and increasing blood flow to the area around the urethra. This helps to prevent leakage. Beta-3 adrenergic agonists include mirabegron (Myrbetriq).


The most common surgical procedure for male incontinence is artificial urinary sphincter implantation. This device consists of an inflatable cuff placed around the urethra and a pump implanted in the scrotum. The pump inflates the cuff, which closes off the urethra and prevents urine from leaking. The pump can also deflate the cuff when urination is desired.

Other surgical procedures for male incontinence include:

-Sling procedures: A sling procedure involves placing a supportive band around the urethra to keep it closed. There are several types of slings, including pubovaginal slings and transobturator slings.

-Bulking agents: Bulking agents are injected into the tissue around the urethra to help it close off more effectively. Bulking agents include collagen, silicone, and autologous fat (fat from your own body).

-Urethroplasty: Urethroplasty is a surgery to repair the urethra. It may be needed if an injury or congenital disability causes the incontinence.

When to see a doctor

If male incontinence affects your quality of life, it’s time to see a doctor. While urinary incontinence isn’t life-threatening, it can greatly impact your mood, mental health, and physical health.

Many treatments are available for male incontinence, so don’t hesitate to seek help. A doctor can do a physical exam and ask questions about your medical history to get to the root of the problem. They may also recommend lifestyle changes, such as losing weight or quitting smoking. Many types of medication and surgery can treat incontinence if these don’t work.


Thank you for taking the time to read our guide on h