How can male incontinence be treated?
It is very important to identify the type of urinary incontinence and the underlying causes before setting a treatment plan. This is because, different type of treatment suit different type of urinary incontinence.
Often, the prompt recognition and treatment of the underlying condition can lead to the resolution of the urinary incontinence.
According to European Association of Urology, in line with the UK National Institute for Healthcare and Clinical Excellence there are a pharmacological and a surgical management.
The pharmacological approach is mainly indicated in cases of urge or overflow incontinence.
In case of stress urinary incontinence, the solution is almost always surgery.
Injection of bulking agents at the level of the urethral sphincter may be helpful in patients with a mild form of stress urinary incontinence.
Slings have been introduced to treat post-prostatectomy incontinence. They consist in a synthetic mesh fashioned in a hammock shape, which is placed under the urethra to elevate it and restore the normal anatomy. Slings can yield excellent results in carefully selected patients.
The artificial urinary sphincter is the standard treatment for moderate-to-severe male stress urinary incontinence. Men considering insertion of an artificial urinary sphincter need to be adequately counselled and require good manual dexterity. This is because the patient has to deflate the sphincter by pressing a small pump, which is placed just under the skin of the scrotum, each time he wishes to urinate. The sphincter is made of a pump, of a cuff, which is placed around the urethra, and by a small balloon, placed in the abdomen. Small tubes connect all the components and the system is filled with sterile water. The cuff is usually inflated around the urethra preventing the leakage of urine. When the pump is squeezed, the cuff deflates for around one minute allowing the patient to urinate. In carefully selected patients, artificial urinary sphincters can successfully treat moderate to severe stress urinary incontinence.
Why Choose Giulio
Giulio is a veteran surgeon with 15 years of experience in the field of Andrology and Reconstruction. He is also one of the largest penile prosthesis implanters in Europe, as well as the surgeon who performs the largest number of procedures for the correction of complex cases of Peyronie's disease. He has been invited to lecture and perform surgery in 21 different countries, in 6 different continents.
Penile prosthesis implants last year
Complex Andrological procedures every year
Phalloplasties over his career