Urinary incontinence is more common in women under 50 than in men. However, once they are over 50, this proportion is reversed. Generally, it is a prostate-related disorder, but there can be many causes of male incontinence. We tell you all about the causes of male bladder weakness.

L'urinary incontinence is the inability to hold back the flow of urine. It is characterised by loss of urine both during the day and at night. By nature, it is unintentional and it can be linked to certain diseases. It is estimated that about 10% of men over 40 suffer from some form of incontinence compared to 20% of women. However, these figures are very likely to be higher as many people do not consult a doctor for these ailments. In men aged 75 and over, 1 in 3 would suffer from incontinence. 

Incontinence is more common in women than in men because men have a longer urethra. Men also have a strong, striated sphincter which is in contact with the lower part of the urethra, thus reducing the risk of bladder weakness. In addition, men do not suffer the damage to the perineum that pregnancy causes. 

Urinary incontinence does not present no health hazard but it is still unpleasant. Taboo subjectespecially for men, it is part of the natural course of aging. However, there are many ways to limit and avoid bladder weakness. 

Urinary incontinence occurs when part of the urinary system fails to function properly. This may be due to problems with emptying the bladder (obstruction or other sphincter problems) or a failure to fill the bladder (disruption of signals from the bladder to the brain). The involuntary bladder leakage are often the result of age-related changes such as dehydration of the mucous membranes of the urethra, weakening of the pelvic floor muscles or enlargement of the prostate. They can also be caused by other factors such as nervous system disorders, depression, diabetes, urinary tract infections or certain medications. Here is a detailed explanation of the causes of incontinence in men. 

Urinary incontinence related to prostate disorders

Prostate problems are quite common in older men. The tprostate disorders are also the primary cause of urinary incontinence in men. This incontinence may be related to a hypertrophy of the prostateThis is an enlargement that can block the urethra. This is a perfectly natural phenomenon after the age of 45. However, it can prevent the normal flow of urine and cause bladder irritation. In the case of mild discomfort, it is recommended to be monitored clinically once a year. However, if the discomfort is more severe, specific treatment is required. 

L'prostate removalIn addition, the use of the bladder, especially after cancer, can lead to urinary incontinence. Following this operation, the pelvic floor muscles and bladder nerves are often weakened. This can lead to urinary incontinence. A perineal rehabilitation is then recommended under the supervision of a health professional. This re-education allows the muscle tone of the bladder to be restored. 

Diseases that can cause male incontinence

Some neurological diseases can prevent the brain from sending the right signals to the bladder and can therefore cause urinary incontinence. These include: 

• Alzheimer's disease,
• Parkinson's disease, 
• multiple sclerosis,
• diabetes, 
• or stroke.  

These diseases cause dysfunctions of the nervous system which, in some cases, manifest themselves as hyperactivity bladder (frequent need to urinate) or hypoactive (inefficient emptying of the bladder leading to urine leakage). Disease-related incontinence cannot be reversed, but there are some medical treatments available to reduce bladder weakness. 

Incontinence and ageing of the bladder

The risk of urinary incontinence increases after age 70. As time passes, the bladder sphincter muscles tend to relax naturally (weaken and lose elasticity). This can lead to bladder leakage due to the relaxation of the sphincters or a distended bladder. Perineal reeducation is a solution for the most motivated. 

Causes of incontinence: male bladder weakness and obesity

Obesity is a recognised cause of male urinary incontinence. The accumulation of body fat increases pressure in the abdomen and this can affect the pelvic floor. Weight loss very often has a beneficial impact on bladder weakness. The most important thing to do if you experience incontinence is to talk to your GP as soon as possible. He or she will be able to confirm the nature of the condition and will be able to prescribe medical solutions or perineal rehabilitation sessions. 

Urinary tract infections: another cause of incontinence

When suffering from urinary tract infections this can lead to a hypersensitive bladder. The symptoms are : 

• very strong urges, 
• a frequent need to urinate day and night or in small amounts, 
• and an inability to get to the toilet in time. 

Consumption of alcohol, cigarettes, coffee and certain medications can lead to urinary incontinence. Stress is another factor that can trigger bladder weakness. Exercise and eating well are both good for your health.