Definition of Male Incontinence:

  • Any degree of urinary leakage
  • Pads utilized to quantify degree of incontinence
  • Storage problem – detrusor hyperreflexia, small capacity, overflow incontinence
  • Emptying problem – Intrinsic Spincter Deficiency (ISD), Stress Urinary Incontinence (SUI)

Clinical Incontinence:

  • Post Prostatectomy
  • Post Transurethral resection of the prostate (TURP)
  • Post Radiation
  • Post Cystectomy

Epidemiology of Male Incontinence:

  • Data depends on definition
  • Patient surveys estimate rate at 35% require a pad
  • 75%-85% of men leak occasionally
  • 350,000 new cases of prostate cancer per year
  • 180,000 prostatectomies per year

Current treatments:

  1. Behavioral Modification:
    – Avoid drinking excess fluids after dinner
    – Frequent bladder emptying
    – Kegel Exercises
    – Electrical stimulation
    – External penile clamps
    – Lifestyle adjustment
  2. Medical Therapy
    – Anticholinergics
  3. Surgical Therapy
    – Collagen injection
    – Artificial urinary sphincters
    – Urethral sling
  4. Ostomy Products

Risk Factors of Male Incontinence:

  • Pre-existing voiding dysfunction
  • Age
  • High Body Mass Index (BMI)
  • Previous Transurethral resection of the prostate (TURP)
  • Previous XRT (Radiation Therapy)
  • Bladder neck contracture/urethral structure
  • Inadequate surgical skill during prostate surgery

Please call Dr. Scherr for more information on dealing with male incontinence.