A Guide to Causes Behind Male Urinary Incontinence

Causes Behind Male Urinary Incontinence

Urinary incontinence is among the most frustrating health conditions that can affect a person. Male urinary incontinence involves a loss of urine that’s completely unintentional. For some men, stress can bring about this issue. For others, it may involve a sudden urge to urinate that a man can’t prevent. This is a serious condition that an array of different factors can cause. In many cases, you will need to get treatment for the underlying causes behind male urinary incontinence before you can get relief from the symptoms. The following is a detailed guide to the many causes behind male urinary incontinence.

What You Should Know About Urinary Incontinence

Male urinary incontinence occurs when you urinate without intending to do so. There are a wide variety of different types of urinary incontinence that could affect you, which include urge incontinence, stress incontinence, and overflow incontinence. It’s also possible that you will develop more than one type of urinary incontinence at the same time. In order for urinary incontinence to be properly diagnosed, you will likely be required to go through a physical exam as well as urodynamic testing. There are a wide range of treatments to effectively get rid of your urinary incontinence, the most effective of which differs from person to person.

When looking at the three types of urinary incontinence, stress incontinence occurs when the abdomen places pressure on the bladder. Such actions as sneezing, coughing, and lifting can bring about stress incontinence. As for urge incontinence, this is a loss of urine that occurs after you experience a strong urge to urinate that you’re unable to stop. When affected by urge incontinence, you might find it difficult to get to the bathroom on time. Finally, overflow incontinence refers to a constant leakage of urine, which will also cause you to urinate on a frequent basis. The amount of urine that leaks is usually small.

Causes Behind Male Urinary Incontinence

Primary Causes of Male Urinary Incontinence

In order for a person’s urinary tract to function properly, it’s essential that every muscle and nerve in the area work together to release urine at the correct time and to hold in urine until that time has arrived. Many different causes can lead to the development of male urinary incontinence, and the only way to obtain the right treatment for your condition is to effectively identify what the cause of your case of urinary incontinence is. The majority of underlying causes behind male urinary incontinence can be wither prostate issues or nerve problems. Aside from prostate issues or nerve problems, some of the other causes that can lead to you developing urinary incontinence include a urinary stone and standard changes with age.

Prostate Issues

The prostate is a very small gland that’s typically the same size as a walnut. The prostate is located directly below the bladder and surrounds the urethra. The presence of several different prostate issues can cause you to experience urinary incontinence. You may be suffering from a condition known as benign prostatic hyperplasia, which results in the prostate gland becoming larger with age. When the prostate becomes larger, it may squeeze the urethra, which results in negatively affecting the urinary stream.

The urination issues and other symptoms that occur with BPH typically don’t begin before the age of 40. This condition affects more than 50 percent of men in their 60s. Around 90 percent of all men in their 70s and 80s suffer from this condition as well. Keep in mind that symptoms vary from person to person. However, the most common symptoms involve changes to urination. These changes can include interrupted urination, more frequent urination, a higher urgency to urinate, leakage, and urge incontinence. If you experience more than one of these symptoms, you’ll want to have receive treatment that will determine if your prostate has become enlarged.

Prostate Cancer

There’s also a small possibility that prostate cancer had caused your case of urinary incontinence. You must catch on to it early if you want to be able to safely get rid of it before it spreads. However, treatments that we use for prostate cancer often cause urinary incontinence. For instance, a surgical procedure that’s typically used to remove the entire prostate is referred to as a radical prostatectomy. This procedure may cause you to experience such side effects as erection issues and urinary incontinence. Another form of treatment that’s used for prostate cancer is external beam radiation. This treatment can lead to a large number of bladder problems, which can be either temporary or permanent.

Nerve Problems

There are numerous conditions, diseases, and injuries that can cause a person to experience nerve problems. When a nerve has become damaged, you may begin to go through issues with your urination. Keep in mind that nerve problems can occur at practically any age. Among the more common causes of urinary incontinence due to nerve issues is diabetes. When a man has suffered from diabetes for many years, certain nerves can become damaged and cause issues with bladder control.

Some several diseases and conditions can adversely affect both the brain and nervous system, which may lead to difficulties with controlling bladder function. These diseases and health concerns include multiple sclerosis, a stroke, and Parkinson’s disease. It’s important to understand that each of these health conditions are considered to be severe, which is why you want to have them detected as soon as possible. Early detection of Parkinson’s disease and multiple sclerosis will allow you to effectively treat the urinary incontinence while also properly managing the other serious symptoms associated with these conditions.

Overactive bladder

Another nerve problem that may be causing you to experience urinary incontinence is the presence of an overactive bladder. This condition causes your bladder to squeeze at incorrect times, which will likely cause you to start urinating much more frequently than usual. While this condition is typically brought about by nerve problems, there are also times when there’s no notable cause of it.

If you’re affected by an overactive bladder, two additional symptoms typically accompany urinary incontinence, the first of which is urinary urgency. This symptom occurs when you have a sudden and very strong need to urinate. You’ll also suffer from urinary frequency, which is a frustrating symptom that occurs when you urinate at least eight times each day or more than twice every night.

Spinal Cord Injury

The final nerve problem that could be the cause of urinary incontinence is a spinal cord injury. The spinal cord contains nervous tissue that’s responsible for most movements throughout the body. When the spinal cord becomes damaged in some way, the nerve signals that are used for bladder control may have become interrupted, which would invariably cause urinary incontinence.

Causes Behind Male Urinary Incontinence

Potential Risk Factors to Consider

There are a wide range of risk factors that can increase the possibility that you suffer from urinary incontinence. The primary of which is age. As you get older, your urethra and bladder muscles will invariably lose some of the strength that they typically have. As such, the bladder will be unable to hold urine as effectively as it once did, which may cause you to suffer from urinary incontinence.

There’s also a chance that being overweight could cause you to experience this condition. Having extra weight on your body will place additional pressure on the bladder. As well as place pressure the various muscles that surround the bladder. Over time, this extra weight will cause the bladder muscles to become weakened. That might allow urine to leak out unexpectedly whenever you sneeze or cough.

If you smoke on a regular basis, doing so can heighten your risk of developing urinary incontinence. If this is the case, stopping smoking may be enough to get rid of the urinary issues that you’re going through. You’ll also have a greater chance of developing urinary incontinence if you have a family history of this condition. A family history of urge incontinence is more likely to cause you to develop urinary incontinence than any other type of UI.

Treatment For Male Urinary Incontinence

If you believe that you’ve developed urinary incontinence, you’ll want to get treatment as quickly as possible. The presence of urinary incontinence can lead to many complications in a person’s life. Skin infections, sores, and rashes are all possible if your skin is constantly wet because of urinary incontinence. It’s also important to understand that you’ll have a higher chance of developing regular urinary tract infections. They can also cause many other health concerns to occur. If you don’t get your urinary incontinence treatment, it might also negatively impact your personal, social, and work relationships. Most of these issues can be avoided by seeking the appropriate treatment for urinary incontinence, of which there are many.

The treatment that you’re provided with for your case of urinary incontinence largely depends on which type of incontinence you suffer from. The underlying cause of the condition also plays a large part in which treatment you’re given. In almost all cases, treatment will begin with noninvasive treatments. That helps to ensure that you consider every option before more invasive treatments. The initial treatments typically include certain types of behavioral therapy. Some of the behavioral techniques that your doctor may recommend include:

  • Attempting to Schedule Your Trips to the Bathroom
  • Bladder Training
  • Management of Fluids and Overall Diet
  • Double Voiding

Exercise and Medication

If behavioral techniques have proven to be ineffective after a couple of weeks, pelvic floor exercises may be recommended. They designed tese exercises to properly strengthen the various muscles that control urination. While these exercises are particularly effective for stress incontinence, they can also be helpful with urge incontinence. You might want to work with a physical therapist to make sure that you’re performing the exercises correctly.

Doctors might also prescribe numerous medications within an attempt to get rid of your urinary incontinence. These medications can include everything from anticholinergics to alpha-blockers. The latter of which they designed to make it simpler to empty the bladder if you suffer from overflow incontinence. Before surgery is an option, some therapies that you might be doing include bulking material injections, nerve stimulators, and Botox injections. These therapies have proven to be highly effective for the treatment of all types of urinary incontinence.


If all other medical treatments have been ineffective at getting rid of your case of urinary incontinence, surgery may be necessary. There are a variety of surgical procedures that doctors could recommend to you. That includes sling procedures, artificial urinary sphincter, and bladder neck suspension. They specifically designed the sling procedure to treat stress incontinence. With this treatment, they use a mesh or synthetic material for the creation of a pelvic sling. It is placed around the urethra as well as the neck of the bladder. When positioned properly, the sling will help to keep the urethra shut whenever you sneeze or cough.

As for the artificial urinary sphincter treatment, this procedure involves the implantation of a small ring of fluid around the neck of the bladder. It then shuts the urinary sphincter until it’s time for you to properly urinate. In order for the sphincter to open when you want to urinate, you will need to press a valve under your skin that deflates the ring and allows you to urinate. When looking at a bladder neck suspension, this treatment should be adding support to the bladder neck and urethra. This surgery requires the placement of a somewhat large incision in the abdomen, which makes it the most invasive option.