Scientific studies have shown that most men with urinary incontinence can be treated at their general practitioner with good results. Sometime it may be necessary to refer you to a specialist with a particular interest for urinary incontinence.
What can the doctor do?
The first thing your doctor will do is to find out which type of urinary incontinence you suffer from. This is determined by you telling about your nuisances and by filling out a fluid and urination table over the course of three days. Furthermore, the doctor examines your urine, take a few blood samples and feel your prostate through your rectum.
The doctor’s further treatment depends on which type of urinary incontinence you suffer from and what is the cause of your urinary incontinence.
1) Trouble with emptying the bladder
A slow stream of urine, a wait before urination begins, the necessity of press the urine our by using the abdominals together with a feeling of not being able to empty the bladder completely.
An enlarged prostate is the most common cause for men having trouble with emptying their bladder. An enlarged prostate can be treated with medication or by surgery.
Part of the prostate can be removed by surgery through the abdominal cavity and the bladder. The most common surgery is an internal peel of the prostate. The surgery is performed through the urethra. After the surgery and removal of the tissue causing resistance in the urethra, urination improves or perhaps even returns to a youthful state.
There are two types of medication that can lessen resistance in the urethra caused by an enlarged prostate.
The one type of medication relaxes the prostate so that it does not squeeze the urethra so much. Thereby urination improves since the urine will be able pass faster and with more power.
The medication should be taken once or several times a day and the effect gradually steps in over the course of a couple of weeks. Unfortunately, the medication does not only relax the prostate but also the blood vessels in the body are affected. This can lead to a decrease in blood pressure and this is experienced as being very uncomfortable. So not all men can benefit from that medication.
The other medication causes the prostate to shrink. You should take the medication for 3 to 6 months before the full effect is achieved. A few experience a decreased lust for and ability to have sex.
Further reading on Other treatments