Non-Surgical Treatment of Urinary Incontinence
Male Incontinence Severity Level Guidelines
Life, as you know it does not have to change because you have an overactive bladder. Various treatment options are available.
Certain medications have been known to decrease symptoms of an overactive bladder. These medications have to be prescribed by your doctor and work by enhancing the ability of the bladder to store urine. Examples of this type of medication are: Detrol LA, Ditropan XL, Vesicare, Enablex and Santura. Medications such as Hytrin, Flomax, Cardura, and Uroxatral relax the muscle of the bladder neck and prostate reducing resistance to flow of urine and the work that the bladder muscle needs to do for urination to occur. With time, and because the force needed to urinate is reduced, the detrusor bladder muscle becomes thinner and more elastic, thus increasing the bladder capacity to store urine.
Any procedure that reduces urinary obstruction, generally caused by prostate enlargement, may also alleviate symptoms of OAB. These are described in the BPH section of this web site: Microwave (thermo) therapy, Green Light Laser and trans urethral resection of the prostate.
Absorbent products: Absorbent pads, diapers and garments can deal with incontinence.
Medication: No FDA approved medication for stress incontinence in men. Antidepressants/Antihistamine effect on bladder
Clamps: Cunningham clamp, C3-clamp
Easy to use
Generally not a turn on
Attached to a bag
Increased risk of infection
Decrease fluid intake
Avoid caffeine, alcohol
Avoid activity that increases intraabdominal pressure
Pelvic floor rehabilitation
Means of teaching Kegel exercises
Objective way to measuring pelvic floor strength
Collagen (Success rates for collagen ~ 17% after prostatectomy)
Office or outpatient
Long term data available
Skin test: delayed hypersensitivity
Low cure rate