What is Operation for Incontinence (Male)?

Incontinence is the loss of urine during physical exertion which occurs constantly both day and night. Incontinence originates from an abnormal opening between the urinary tract and the exterior. This abnormal connection is called a fistula which is usually caused by damage to the bladder through physical trauma. Surgical alteration is needed in this kind of problem.

Leakage or after dribble happens subsequent to urinating and is principally a problem in men. Despite shaking, the last few drops of urine stays behind in the urethra and then dribbles out as he leaves the toilet. Fortunately, this is not a grave problem and can be easily solved through a simple method that can be learned in a very short time from one’s general practitioner or continence adviser.

Effects of Operation for Incontinence (Male)

This problem can most of the time, be cured, treated, and sufficiently managed by undergoing this procedure. It is important that this is controlled so as not to get in the way of the patient’s healthy, productive, and active lifestyle.

Candidates for Operation for Incontinence (Male)

Incontinence can take various forms in men.

The most common form of incontinence is urge incontinence wherein one has to rush to the toilet (urgency) and possibly leak on the way. This usually occurs and is worse in the cold weather or if the patient hears the sound of running water. Dribbling may also be noticed right after passing urine. Older men usually encounter this problem mainly because of a blockage at the outlet of the bladder caused by the enlargement of the prostate gland or benign prostatic hypertrophy (BPH).

Other candidates for this procedure are men who have had bladder problems all their lives. They suffer from bedwetting, urge incontinence, or passing urine frequently.

Those patients who are having problems in holding their urine are also candidates for surgery. This problem is usually a result of a previous prostate operation.

Your Consultation

During consultation, a healthcare provider will ask questions regarding the patient’s symptoms and the instances wherein one experience leakage of urine. The medical and surgical history will be asked as well as medications that the patient is taking and the patient’s habits. A comprehensive physical exam will be done which includes examination of the abdomen, pelvis for women, rectum for men, and the nervous system.

Referral to a specialist who specializes in the diagnosis and the treatment of disorders of the urinary tract, such as a urologist, is possible.

Tests that will be performed on the patient are dependent on the type and suspected cause of the particular incontinence. This will be done by a health care provider in order to choose the appropriate treatment for the patient.

The Operation for Incontinence (Male) Procedure

There are a number of operations out there for incontinence. Operation may be needed in men suffering from incontinence in order to alleviate the blockage caused by a prostate that is enlarged. Another surgical treatment that may be utilized is the placement of an artificial urinary sphincter (AUS). This procedure is used for patients with an absent sphincter muscle or a sphincter muscle that has been severely damaged and whose problem do not respond to simpler or more conservative treatments.

Recovery

After treatment and the incontinence did not improve, let your urologist know about this during your postoperative visit. If it got severe, you must be referred back to your urologist immediately so that this can be further discussed and investigated. It is significant to establish the reasons why you may be incontinent in order to choose the appropriate treatment for you.

Treatment utilized may be for control of an overactive bladder, exercises for persistent stress incontinence, or you may be recommended to undergo further surgery, possibly to have an artificial sphincter implant. These treatments can be very successful although it is still your decision if the problem is causing trouble that is enough to necessitate more surgery.

FAQs

What are the different types of incontinence?

Classification of incontinence is dependent on the symptoms and circumstances at the time of the urine leakage. The following are the different types of incontinence:

  • Stress Incontinence – Urine leaks whenever one strains or stresses the abdomen through coughing, laughing, sneezing, or even walking. This could be because of poor bladder support by the pelvic muscles or due to a sphincter that is weak or damaged.
  • Urge Incontinence – This is when the patient may leak urine without any warning at all. The patient may also feel as if he or she cannot wait to reach a toilet. This occurs because the overactive bladder contracts even if the patient does not want it to do so. Infection which irritates the bladder lining causes the bladder to become overactive. Another cause of an overactive bladder is damage to the nerves that normally control it. In some cases, the cause for incontinence is unclear.
  • Mixed Incontinence – This is a combination of both the stress and urge incontinence.
  • Overflow Incontinence – This happens when the bladder becomes so full that it just overflows. The weakness of the bladder or a blocked urethra allows this problem to occur preventing normal emptying. This blockage usually results in an enlarged prostate. For this reason, this type of incontinence is more prevalent in men than in women. On the other hand, weakness of the bladder may develop in both men and women but usually can be seen in individuals with diabetes, heavy alcohol users, and those with decreased nerve function.

Who does have a greater chance of being incontinent, women or men?

Incontinence does not just occur in women. A lot of men have difficulty in controlling their urine. Studies show that 5-7% of men under the age of 64 suffer from urinary incontinence. On the other hand, 10-20% of men over the age of 64 have urinary incontinence.

How does enlargement of the prostate cause incontinence?

As one ages, the prostate gland becomes enlarged. The normal size of an adult prostate is about the size of a chestnut and usually weight about 20-25 grams; however, with benign prostatic hypertrophy (BPH), its weight can increase up to 60 grams or more. As the prostate expands, it wraps itself around the neck of the bladder just like a collar resulting in the restriction of the outlet causing the bladder muscle to work harder in order to push the urine out.