Which are the most common causes of incontinence in the male?
Urinary incontinence is symptom, not a disease. It can be caused by everyday habits, underlying medical conditions or physical problems. Certain drinks, foods and medications can act as diuretics — stimulating the kidneys to produce an increased volume of urine (i.e. alcohol, caffeine, carbonated drinks, artificial sweeteners) even though they are not the primary cause of incontinence.
It is very important to thoroughly investigate patients with urinary incontinence. Frequently, history taking, examination and routine investigations are sufficient to identify the underlying problem. In selected cases, more specialistic investigations are necessary to understand the nature of the urinary incontinence.
Various conditions can cause urge urinary incontinence. Any condition that can cause irritation to the bladder wall, such as urinary tract infections, stones in the bladder and irradiation of the bladder for the treatment of pelvic cancers can lead to urge urinary incontinence. Also some neurological diseases can cause involuntary contraction of the detrusor muscle leading to urge urinary incontinence.
Prostate surgery is a major cause of stress urinary incontinence in men. Short-term incontinence may appear after radical prostatectomy and it could last up to 1 year. Stress incontinence is a common problem after radical prostatectomy or radiation treatment (radiotherapy) for prostate cancer.
Overflow incontinence is usually caused by chronic urine outlet obstruction. In most cases, the obstruction is caused by benign prostatic hyperplasia (=enlargement of the prostate) or by urethral strictures (=narrowing in the waterwork) or by some neurological disease.
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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