The term incontinence gives the meaning as accidental leakage of urine. The act of urination would be not in control during the urinary incontinence. The condition is more vulnerable to the men, as the age advances. It is because of the enlargement of the prostate.
Urinary inconsistency condition in male can be diagnosed using several methods.
- Digital rectal examination is done to check for the enlargement of the prostate.
- Other method is abdominal ultrasonography and pelvic ultrasonography, which can identify the presence of external factors that cause the compression of the bladder.
- Urodynamics is another method for identifying the incontinence of the stress.
Apart from these diagnostic methods, a dairy has to be maintained by the candidate to count how many times one has to go to washroom for relief. It helps as an indicator of incontinence.
The urinary incontinence can be cured in different methods. The selection of the method and time needed for the treatment varies from one candidate to the other.
- Behavioral Modification
Behavioral modification involves sufficient training for bladder and timed voiding. It gives the training for the intake of the fluid, before going to bed and before going to out for parties or car trip, etc. Such training helps avoiding the accidents, while sleeping or while being outside. Timed voiding also involves the training for emptying bladder in regular intervals. The behavioral modification is effective for the candidates suffering from the mechanical bladder compression and also an overflow incontinence.
Different medicine is given for different purposes. Certain medicine is given to relax the bladder and its surrounding muscles so that full emptying is allowed. It is done usually with alpha blockers. Some other medicine can be used for the reduction of the hormone levels so that the prostate enlargement of the prostate also can be reduced. The mechanical pressure over the bladder is reduced, easing the flow of the urine. It uses 5 alpha reductase inhibitors. Antispasmodics also help relieving from bladder muscle spasm, so that sudden bladder contractions can be prevented.
- Kegal Exercise
Kegal exercise is the strengthening of the floor muscles of the pelvic. The exercise can tighten the sphincter muscles and makes the outlet of the bladder to be closed, while performing strenuous activities. To perform this exercise, pull the pelvic muscle and continue to hold until, counting 3. Relax after counting 3. Repeat the same exercise for 3 sets and repeat 10 times. However, we should not overdo it. Kegal exercise is possible with biofeedback. It helps relieving from the stress incontinence.
There are surgeries conducted for severe conditions of male urinary incontinence.
Artificial Sphineter: Urinary leakage in the male candidates can be treated with the artificial sphineter. This device is an implanted device helps keeping the urethra be closed, until the candidate gets ready for urination. The artificial sphineter device is helpful for the urinary incontinence that is caused from nerve damage interfering the function of the sphincter muscle or weakened muscle function. If the inconsistency is because of the uncontrolled bladder contractions, it does not solve the problem.
Artificial sphineter surgery is performed with spinal or general anaesthesia. The device consists of three parts, a cuff, a small balloon and a pump. The cuff is fit around the urethra, the balloon acts as a reservoir, which is kept in the abdomen and the pump is kept in the scrotum. When the cuff is filled with the water, it is fit around the urethra tightly and prevents the leakage of the urine. Before the urination, the pump has to be squeezed with the finger so that the cuff is deflated and the liquid starts moving the balloon reservoir. Then the urine starts flowing the urethra. After the bladder is made empty, the cuff will be refilled in the following 2 to 5 minutes, automatically so that the urethra will again be tightly closed.
Urinary Diversion:Urinary diversion surgery is considered if the function of the bladder is lost because of the damage of the nerve or the bladder has to be removed. The surgery provides a urinary diversion. During the surgery, a reservoir is created after removing a small intestine piece and the ureter is directed to this reservoir. A stoma is also created as an opening for the lower abdomen so that the urine can be drained towards the bag through a catheter.
Male Sling:Male sling surgery procedure provides the support by wrapping a strip over the urethra. The ends of the strip are then attached to pelvic bone ends. The sling continues to keep the pressure over the urethra until the urine is released consciously by the candidate.
Cost of Male Urinary Incontinence Treatment
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