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
- Behavioral modification
- Male sling
Clamps: Cunningham clamp, C3-clamp
- Non-medical, non-surgical
- Easy to use
- Works well
- Pressure necrosis
- Generally not a turn on
- Attached to a bag
- Increased risk of infection
- Decrease fluid intake
- Void frequently
- Avoid caffeine, alcohol
- Avoid activity that increases intraabdominal pressure
Pelvic floor rehabilitation
- a.k.a. biofeedback
- Means of teaching Kegel exercises
- Objective way to measuring pelvic floor strength
- Collagen (Success rates for collagen ~ 17% after prostatectomy)
- Carbon beads
- Autologous fat
- Relatively safe
- Office or outpatient
- Long term data available
- Skin test: delayed hypersensitivity
- Low cure rate
- Repeat treatments