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Urinary Incontinence

Urinary incontinence in men is the involuntary leakage of urine. It is less common than in women and often follows prostate surgery or develops gradually with age. Though rarely discussed, it is a legitimate medical concern that can be assessed and, in many cases, managed with the right support.

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What happens in the pelvic floor

The sphincter and pelvic floor muscles control the flow of urine. When they are weakened or injured, by prostate surgery, a neurological condition or age, their ability to hold urine back is reduced, which leads to leaks. These are often of the stress type, escaping under physical pressure such as effort or movement.

What causes urinary leakage in men?

Male incontinence usually traces back to weakened or damaged muscles controlling urine flow. Several factors can be involved, and identifying which one applies is part of a medical assessment. That evaluation also rules out any underlying condition that should be addressed before considering treatment options.

After prostate surgery

Prostate surgery is one of the most common reasons for incontinence in men. The procedure can affect the sphincter and surrounding muscles that control urine flow, reducing their ability to hold urine back. The degree and duration vary, and a healthcare professional can help clarify what to expect.

Age and weakened muscles

With age, the sphincter and pelvic floor muscles can gradually lose tone, just as muscles do elsewhere in the body. This slow weakening reduces bladder control over time and is a common contributor independent of any surgery.

Neurological factors

The muscles that control urination rely on nerve signals. Neurological conditions can disrupt that control and contribute to leaks. Because this points to an underlying cause, it is one of the reasons a medical assessment is important before considering any treatment.

Tissue and pelvic tone

Overall pelvic tone and tissue quality decline with age, adding to the loss of support around the sphincter and bladder. Combined with other factors, this gradual change helps explain why incontinence becomes more frequent in later years.

How to Prevent

Speak to a healthcare professional

Incontinence is often left unmentioned because it feels difficult to raise. Speaking openly with a healthcare professional allows the cause to be identified and any underlying condition to be ruled out before an individualized approach is considered with dignity.

Care for the pelvic floor

Targeted pelvic floor exercises, guided by a professional, can help maintain and rebuild the tone of the muscles that control urine flow. Caring for these muscles is a well-established way to support bladder control over time.

Support healthy habits

Staying active, maintaining a healthy weight and following any guidance from your healthcare professional can reduce strain on the pelvic floor. These habits support overall function alongside any plan that may be discussed.

Rule out a medical cause

Because incontinence can stem from an underlying condition, a medical assessment to identify or rule out a cause is an important first step. Our medical team can help determine what is contributing and what may be appropriate for you.

IncontiLase

IncontiLase is a highly effective non-surgical laser treatment. During the procedure, a special attachment, similar to a speculum used during a Pap test, is inserted into the vagina. Through this, the vaginal region is treated with short laser pulses. The photothermal heating affects collagen in both the vaginal walls and the urethra. This causes restructuring and regrowth of the collagen. The result is the thickening and tightening of the vaginal walls and urethra to prevent urine loss.

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Emsella

Emsella utilizes High-Intensity Focused Electromagnetic Technology (HIFEM) to cause deep pelvic floor muscle stimulation and restoration of neuromuscular control. By causing more than 11,800 muscle contractions in 28 minutes, Emsella strengthens the pelvic muscles in a non-invasive way while the patient simply sits on the Emsella chair, fully clothed. This Health Canada approved treatment, effectively improves the tone of the pelvic muscles, whether having been weakened by childbirth, hormonal changes or simply the normal aging process. It is an effective treatment to reduce incontinence and improve the quality of life for women… and even men!