Urinary incontinence is the involuntary loss of urine that causes a hygienic or social problem. It has a significant impact on the quality of life of men who suffer from it.
La Urinary incontinence It is the involuntary loss of urine that causes a hygienic or social problem. It has a significant impact on the quality of life of the men who suffer from it.
In males, urge urinary incontinence caused by growth or benign prostatic hyperplasia. In these cases, incontinence can be treated with medication, although in most cases BPH surgery resolves the incontinence. If it doesn't, injections are possible. Botulinum toxin in the bladder to calm involuntary bladder spasms that cause urine leakage.
The most frequent cause of male incontinence is injury to the sphincter mechanism, usually after prostate surgery, either for the treatment of benign prostatic hyperplasia (which can affect 1-4% with open surgery or classic transurethral resection, or less than 1% with laser surgery) or due to treatments for prostate cancer (with variable incidence, between 1 and 20%)
When attempts to pelvic floor rehabilitationand the external sphincter If these fail, various surgical techniques can be used for their correction, among which two stand out:
- The implementation of a suburethral sling fixed or adjustable with spinal anesthesia, a simple procedure, performed under spinal anesthesia, with a short stay, mainly for patients with mild or moderate incontinence.
- In severe or total incontinence, the solution is usually achieved with the implantation of a artificial urinary sphincter.
