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Home >> Men's Health >> Urinary Incontinence >> Treatment
 Urinary Incontinence - Treatment
Overview | Diagnosis | Treatment | FAQ
Exercises
Kegel exercises to strengthen or retrain pelvic floor muscles and sphincter muscles can reduce or cure stress leakage. Kegel exercises do not require equipment. Men of all ages can learn and practice these exercises. Associated Urologists of North Carolina also offers biofeedback instruction which can teach men how to effectively perform Kegel exercises.
Click here to download a PDF with instructions about how to perform Kegel exercises, new window will open.
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Electrical Stimulation
Brief doses of electrical stimulation can strengthen muscles in the lower pelvis in a way similar to exercising the muscles. Electrodes are temporarily placed in the rectum to stimulate nearby muscles. This will stabilize overactive muscles and stimulate contraction of urethral muscles.
Biofeedback
Biofeedback uses measuring devices to help you become aware of your body's functioning. By using electronic devices or diaries to track when your bladder and urethral muscles contract, you can gain control over these muscles.
Timed Voiding or Bladder Training
Timed voiding (urinating) and bladder training are techniques that use biofeedback. In timed voiding, you fill in a chart of voiding and leaking. From the patterns that appear in your chart, you can plan to empty your bladder before you would otherwise leak. In addition, bladder training can alter the bladder's schedule for storing and emptying urine.
Medications
Medications can reduce many types of leakage. Some drugs inhibit contractions of an overactive bladder. Others relax muscles, leading to more complete bladder emptying during urination. Some drugs tighten muscles at the bladder neck and urethra, preventing leakage. And some, especially hormones such as estrogen, are believed to cause muscles involved in urination to function normally. However some medications can produce harmful side effects if used for long periods so talk to your doctor about the risks and benefits.
Catheterization
If you are incontinent because your bladder never empties completely (overflow incontinence) or your bladder cannot empty because of poor muscle tone, past surgery, or spinal cord injury, you might use a catheter to empty your bladder. A catheter is a tube that you can learn to insert through the urethra into the bladder to drain urine. 
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Implants
Implants are substances injected into tissues around the urethra. The implant adds bulk and helps to close the urethra to reduce stress incontinence. Although it is not FDA approved for the treatment of male urinary incontinence, a off-label use of a permanent implant called Macroplastique® can cure or improve urinary incontinence.
Surgery
AUNC providers offer a special procedure called the InVance™Male Sling System from AMS for selected men with urinary stress incontinence. The InVance™Male Sling System is an effective surgical solution for mild to moderate urinary stress incontinence. The “sling” is made of synthetic mesh. It is placed completely inside the body under anesthesia. The sling corrects urinary stress incontinence by exerting pressure on the urethra. There is nothing to manipulate; the sling works on its own. Most patients are immediately continent following the procedure and can resume normal, non-strenuous activities within a few days. Benefits of the male sling include:
Outpatient surgery
- Single, small incision in the perineum only
- Rapid recovery
- A catheter is usually not required upon discharge
- Immediate improvement in urinary incontinence in most men
For more information about the InVance™Male Sling System from AMS, click here, a new window will open.
For more information about the Virtue® Male Sling by Coloplast Corporation, click here, new window will open.
Other Resources
Click here to visit National Association for Continence, a new window will open.
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