Urinary incontinence or frequent leakage of urine is a common problem that affects one in four men from the age of 40. But “despite its high prevalence, it is a underdiagnosed pathology“, says Dr. Carlos Errando, urologist and head of the Unit of Functional and Feminine Urology at the Puigvert Foundation. The numbers do not lie: more than 50% of male patients who suffer from urinary incontinence do not resolve it in the early stages, from according to the expert Why?

“It’s hard to understand,” says the expert, “but for some reason, men find it difficult to seek professional help. There is a false belief that having urine loss is normal and other they are ashamed to talk about it“. That’s why today, International Day of Urinary Incontinence, the Puigvert Foundation launches a series of five video capsules on male urinary incontinence with the aim of making visible this pathology that is not diagnosed or treated as much as it should be.

As part of the #CosaDeHombres campaign, the center of excellence for the diagnosis and treatment of urogenital pathologies launched these audiovisual pieces presented by Dr. Errando, in which they describe the different pathologies and causes that lead to urinary incontinence, as well as the final urological health recommendations. In this sense, stresses the urologist, “any initiative that helps to make male urinary incontinence visible is positive”, in this way its detection and treatment will be improved.

Types of urinary incontinence in men

As explained by Dr. If you make a mistake, there are four types of urinary incontinence in men:

  • O stress incontinence due to defective sphincter closure, in which leaks occur when coughing, sneezing or making other efforts.
  • O urge incontinencewhen the need to go to the toilet occurs suddenly and does not allow you to get there in time.
  • O mixeda combination of the two above.
  • And the overflow incontinencethat occurs as a result of urinary obstruction.

“A separate problem is functional incontinence, in which there is not a urinary system problem per se, but rather a mobility problem, be it traumatological, neurological or due to mental deterioration that makes it difficult to access the bathroom at the necessary moment”, explains the expert.

Finally, the doctor points out that prostate surgery in its different modalities, it can be the cause of incontinence. Specifically, between 1% in surgery for benign problems up to 30% in surgery for prostate cancer.

Causes of urinary incontinence in men

According to Errando, the causes of incontinence in men are varied. They could be due to a problem with urinary sphincter closureto a failure in bladder functionan obstruction problem to evacuate the urine or a combination of the above.

These conditions can be caused by many reasons. For example, an affectation of the continence structures after prostate surgery, for neurological diseases of various kinds, diabetesurinary tract infections, birth defects, urinary tract obstruction, and aging.

Treatment of male urinary incontinence

As explained by the specialist, the treatment will depend on the diagnosis: pharmacotherapypelvic floor physiotherapy or surgical intervention. “There are several types of surgeries to treat male urinary incontinence, but a great part of the success consists in choosing the surgery directed at the problem that causes the incontinence and adequate to the specific patient that we have before us, that is, to make a treatment tailored to suit handmade,” he explains. doctor Wrong.

Fundació Puigvert has the means to make an accurate diagnosis and offer the patient all the existing surgical options for the treatment of male urinary incontinence. Likewise, the men’s health center It is recommended to go to the urologist once a year.as part of its purpose to raise awareness of the importance of urogenital health care at all stages of life. To learn more about urinary incontinence, click on this article.