Urinary Incontinence in Men

Urinary Incontinence in Men

What Happens

Urinary incontinence is often related to prostate problems. As men age, the prostate gland grows larger. It can squeeze the urethra and push the neck of the bladder out of position. These changes can lead to incontinence.

  • Stress incontinence happens when the muscle (sphincter) surrounding the urethra opens at the wrong time. This can be when you laugh, sneeze, cough, lift something, or change posture.
  • Urge incontinence happens when bladder contractions are too strong to be stopped by the sphincter. Often the urge is a response to something that makes you expect to urinate. It can happen when you wait to use a toilet, unlock the door when you come home, or even turn on a faucet. Overactive bladder is a kind of urge incontinence. But not everyone with overactive bladder leaks urine. For more information, see the topic Overactive Bladder.
  • Overflow incontinence usually is caused by blockage of the urethra from BPH or prostate cancer. It also happens when the bladder muscles contract weakly or don't contract when they should.
  • Functional incontinence can happen when there are physical or mental limitations that restrict a man's ability to reach the toilet in time.

In most cases, incontinence caused by an enlarged prostate can be cured by medicine or prostate surgery.

If your incontinence is not related to prostate surgery and it appears suddenly, it will usually clear up after you get treatment for whatever is causing it. For example, incontinence related to a urinary tract infection, prostatitis, or constipation will most likely disappear when the infection or condition is cured.

Author:
Healthwise Staff
Medical Review:
E. Gregory Thompson, MD - Internal Medicine
Avery L. Seifert, MD - Urology
Last Updated:
July 17, 2012
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