Bladder weakness can cause real inconvenience on a daily basis. Barriers to social life, a burden on mood, restrictive, there are solutions to treating male incontinence.

According to the type of incontinence and depending on the situation of the patient suffering from it, it is possible to find solutions for treating male incontinence.

The drug treatments must be prescribed by a specialist, a urologist. Self-medication is out of the question.

In practice, this type of treatment allows the bladder to function properly by reducing involuntary contractions. To do this, the molecules contained in the drug block certain chemicals produced by the body. These includeacetylcholineThis is the reason for the contraction of the bladder.

In order to regulate its effect, there are different types of drugs that can be prescribed:

• The muscle relaxants These drugs are from the family of antispasmodics allow the bladder to rest. However, their low effectiveness means that they are rarely used.
• The anticholinergics more widespread, they allow for reduce the volume and recurrence of bladder weakness due to their "blocking" effect. However, there are many side effects. Called atropine effectsThese effects are a direct result of the blockage of the receptors: disturbances of consciousness, dry mouth, gastrointestinal problems, eye problems, etc. These effects may lead to the interruption of the treatment and require adaptation.

Important There is no medication available today to treat male stress incontinence. In this case, you will have to turn to one or more other solutions.

Most often prescribed as a result of a prostatectomySurgical treatment of bladder weakness in men consists of correct the mechanism involved during micturition. In addition, these different treatments are subject toconstant innovation.

The artificial sphincter

The prescription and placement of an artificial sphincter should be subject to a prior assessment PAD test, urethrocystoscopy and urodynamic assessment, as a minimum.

This treatment is most often prescribed for severe incontinence. It is essential to induce a full understanding the functioning of the sphincter and the handling of the medical device envisaged by the patient. Its installation requires a hospital stay of a few days, as well as a postoperative follow-up.

Retro urethral strips

With a success rate of 75%, the placement of a retrourethral or suburethral sling is usually prescribed for mild to moderate incontinence, most often following prostatectomy. Positioned behind the urethra, it restores its position and maintains the bladder neck. Its installation requires a perineal surgery of 30 minutes duration.

Botulinum toxin injections

Neurotoxin used in particular in the treatment of multiple sclerosis, botox injections appear to be effective in treating an overactive bladder by acting on involuntary muscle contractions. In fact, they allow better control of the urgency of the need and urination.

Each injection is safe and effective over a duration of 6 to 9 monthsThis is the first time that a project has been carried out and is in need of renewal.

Replacement enteroplasty

In the case of bladder cancer, replacement enteroplasty is a replenishment device The use of an organ transplant to restore good bladder capacity and satisfactory continence.

There are also a number of palliative measures that can be used alone or in addition to other treatments to significantly improve comfort and daily life in the event of urinary leakage

Anatomical protection, single-use absorbent sanitary towels, washable underwear or shells... these protections are similar to those offered to women and preserve mobility and autonomy.

With leakage barriers, the full nappy is recommended for severe incontinence.

The criteria to be considered when choosing the right urinary protection for your needs are

• The degree of mobility
• The waistline
• The volume of loss

Composed of a sheath and a nozzle, the penis pouch is an external medical device for urine drainage that is placed on the penis. In addition, it protects the skin and limits bad odours by evacuating urine to an external pocket.

Developed by a prostate cancer patient who was unhappy with the treatments he was offered, the penis clamp is a external mechanical compression device placed on the penis. Most often prescribed as a complement to sphincter re-education, it helps to control urination. Among the main advantages: no discomfort, no odour and a renewed social life.

Known as electrostimulation or electromodulation, this treatment requires the use of a perineal electrostimulator. It works by means of a system of electrodes acting on the posterior tibial nerve. The low-intensity electrical current emitted enables male incontinence to be treated by improving urinary comfort through muscle reaction.

Depending on the type of incontinence encountered, it is possible to consult a physiotherapist specialising in rehabilitation urogynecological.

Indeed, several rehabilitation methods are possible (manual, biofeedback, electrostimulation) allowing a progressive muscular strengthening of the pelvic floor and the perinosphincteric zone.

In addition, this method offers flexibility and discretion. Carried out in the office or at home, it requires between 15 and 20 sessions, accompanied by daily exercises that can be done at home between each appointment.

Can be practiced from preventive mannerIn addition to the above, and particularly because of the inconveniences associated with age, this rehabilitation helps to limit incontinence and erectile dysfunction (> link to blog 10).

In addition to the various treatments mentioned above, a healthy lifestyle and physical activity (> art. blog 13) can prevent risks.

There are also some natural solutions, including

• The cypress nut and its effects vasoconstrictors
• Field horsetail, which strengthens tissues internal bladder
• Cinnamon, which fight against leaks
• The yellow nettle, which allowsalleviate symptoms

As an herbal tea or decoction, the herbal medicine is an important ally in maintaining good health.