Although cases are rarer in men, they can, like women, suffer from occasional or permanent bladder weakness. Equipped with a more favourable continence system (longer urethra, striated sphincter), men are spared the damage to the perineum that women suffer during pregnancy. However, these features do not fully protect them from male incontinence.

Urinary leakage, or incontinence, is characterized by a involuntary loss of urineIt can occur during the day or at night. Most often linked to a medical or surgical treatment, it can also result from a more or less serious pathology that must be characterised before any treatment.

Occurring most often around the age of 60 - 70 yearsThere are different types of incontinence in men with different symptoms.

In order toconsider treatment In order to determine the most appropriate treatment for the situation, the causes of urine leakage in men need to be identified. Indeed, there are different types of incontinence.

Therefore, it is essential to consult a specialistThis is why the patient must be accompanied by a urologist in order to carry out the necessary examinations for this purpose: ECBU, mictional calendar, pad test, cystoscopy... These allow specify the mechanism involved and to seek the most appropriate treatment for the patient's situation. Not all incontinence situations in men are the same.

Depending on the established cause (urgency, effort, overflow, functional, neurological, etc.), a treatment may be considered. Not all men with incontinence will receive the same treatment. These may be of three orders:

• Medicinal
• Surgical
• Palliative (non-drug and non-surgical)

In order to understand the cause of urinary problems and the reasons for the chosen treatment, it is important to understanding how it works of themale urinary tract.

This is composed of different organsThe ureters, bladder and urethra all play a fundamental role in the structure of the urinary tract. Together with the calyx and renal pelvis, their purpose is toeliminate toxins and waste of the body in the form of urine produced by the kidneys 24 hours a day.

There are different sphincters in the body. In the case of the urinary tract, these are bladder sphincter. It is a muscle of the bladder neck that controls and prevents the progression of urine when it contracts.

The perineum is a muscle that acts as a barrier to the movement of people.irectly on the anus and urethra. It supports the sphincter and thus ensures its proper functioning.

When the sphincter and/or perineum no longer provide their natural functions of retention, this leads to a malfunction that can cause incontinence

The prostate is a gland that is part of the male reproductive system and is located between the pubis and the rectum. It surrounds the urethra and can undergo various genitourinary disorders which vary in cause and severity. Among the most common causes are

• Benign prostatic hyperplasia (BPH)
• Prostatitis or inflammation (in 80% of cases)
• Prostate cancer

Incontinence is one of the consequences of prostate dysfunction. In case of doubt, it is imperative to consult a doctor.

Contrary to false beliefs, men, like women, have a pelvic floor and a perineum.

The perineal rehabilitation is a method of physiotherapy that consists of optimise their operation and combat the various problems associated with male incontinence:

• Muscle weakness
• Chronic constipation
• Surgical sequelae of prostate pathology
• Injuries related to the intensive practice of certain sports, such as cycling
• Overweight

The consequences of these disorders can be truly disabling on the intimate and social level. Therefore, they must be taken seriously.

Non-drug treatments include a penile clip devicecalled Uriclip®. This mechanical device placed directly on the penis, allows by compression to palliate the dysfunction of the sphincter and to control urination.

This solution is usually prescribed in as a complement to rehabilitation of the sphincter or when this rehabilitation is not sufficient.