Urinary incontinence in men
About 6.5% of men under 65 years of age suffer from urinary incontinence. Most often, this condition occurs in prostate gland and after operations associated with the disease buy add meds. All cases of incontinence can be divided into three main categories, although there may be marked also cases due to the combined action of several factors.
First of all, it should be noted stress incontinence, when urination occurs suddenly under the influence of laughing, coughing, sneezing or physical effort. These disorders arise when the displacement of the bladder neck, and then there is no normal contraction of the sphincter muscle. Sometimes the normal work of muscles is not possible due to age-related changes, or surgery.
Urinary incontinence due to violations of the urge to urinate is marked in those cases when the bladder begins to work "at their own discretion." Muscle contraction and emptying of the bladder can not be conscious regulation. The reasons for such incontinence are stroke, Alzheimer's disease, the continued existence of bladder stones, prostate enlargement and age. The bladder begins to act like a child's urinary bladder. When there is a filling of the bladder to a certain extent, there are urges to urinate, and muscle contraction begins, with the person can not control this process.
Complete urinary incontinence is characterized by a lack of urgency to urinate. The use of certain drugs and neglected diseases cause neurological changes in the nerves that supply the necessary signals - so explain these cases doctors. At the same time it can develop complete urinary incontinence in the case of the existence of a long habit - permanent suppression of desires for many years. This is observed in patients with shift work, truck drivers, teachers and doctors. When urination occurs they complete emptying of the bladder, because the tone is lost and bladder sensation under tension.
Treatment of incontinence in men
When the first symptoms of urinary incontinence, some men lose heart - require emergency surgery, want to just "go under the knife." But there are other methods for treating prostate hypertrophy causing incontinence in men. However, not all of them are suitable to any man, and sometimes have to choose the method of trial and error.
Of drugs. There are preparations to strengthen the muscles of the urethra, prostate reduction, as well as to relieve tension smooth muscle.
An incision. Now developed a technique incision of the bladder neck in order to normalize the flow of urine.
Ultrasound. This technique is also being studied and is split proliferating tissue using ultrasound and its suction aspirator.
Microwave. This method is used to remove proliferating tissue by heating it with microwaves.
Waiting. In some cases, after the survey of the patient's condition improves or at least stabilizes. The reason for this phenomenon is unknown.
Some urologists recommend their patients not last three methods, especially since some of them are still being developed. Too great a risk of kidney damage. The choice of treatment depends on the degree of hypertrophy of the prostate.
Balloon urethra expansion is carried out in urology, just as for the expansion of the vascular lumen using an angioplasty. In the urethra using a catheter introduced into a small canister. Then the balloon is filled with fluid under pressure, which causes expansion of the channel. Manipulation lasts 30 minutes and is done on an outpatient basis. The catheter is left for several days. Many urologists believe that preoperative biopsy is necessary to rule out the possibility of cancer. Balloon plastic urethra is contraindicated in progressive enlargement of zhelezy.Ballonchik and administered into the rectum. It is placed next to the prostate gland. In the inflated state it removes the prostate from the bladder. This operation is also quite simple and can be done on an outpatient basis. Balloon plastic as a method of treating prostate promises a lot. Operation safe, painless, avoiding high costs and hospital stay and does not cause reverse ejaculation. In 50-80% of men very quickly start to improve. However, until the weak side of this method is that a relatively large number of relapses. Insufficient patient man who can not do regular exercise or change your lifestyle immediately resolved to channel resection.
Some doctors believe surgery is the best method, since there is a risk of complications, albeit slight. Once enlarged prostate surgery was very complicated, and the recovery period - painful and time-consuming. The operated patients often permanently lost their potency.
Now, so-called channel resection of the prostate is carried out quickly and almost no side effects. The operation lasts about an hour. The patient can eat in the evening or the next morning. The catheter remains in the bladder for two days, and after removing the patient discharged. Within a few days may be a little dribble urine. The operation has no harmful effects on sexual activity. If an erection before the operation took place normally, the ability for it to continue. Not broken, and the function of the testes.
During orgasm, there is no ejaculation, but the feeling remains the same pleasure. The fact is that the semen is collected in the right place, but at the time of ejaculation is ejected to the bladder. This process is called reverse ejaculation, which is a cause of infertility, but in old age problem of procreation is hardly relevant. And if it is relevant - it is possible to resort to artificial insemination.