Evaluation and Diagnosis of Male Incontinence

For men experiencing symptoms of urinary incontinence, Dr. Fenig performs a comprehensive evaluation to make an accurate diagnosis. Dr. Fenig understands that incontinence is an uncomfortable condition and will work closely with you to find the right solution – and treatment – for your individual needs. He will begin with the following steps:

  • A complete diagnostic work-up
  • Pertinent education on your condition
  • A treatment plan tailored to your individual needs


To have a complete picture of your symptoms and the extent of your incontinence, Dr. Fenig will ask you to complete an evaluation. This will provide Dr. Fenig with essential answers that will help him develop your individual treatment plan.

Urinary Incontinence Patient Evaluation:

  • How long has the leakage been happening?
  • How often does it happen each day?
  • Are you aware of the need to urinate beforehand?
  • How much urine is leaking?
  • Do you wear protective pads or garments? What kind and how often?
  • How much does it impact your daily routine and your life?
  • Is it more difficult to control when you cough, sneeze, strain or laugh?
  • Is it more difficult to control when you are walking, running, or jumping?
  • Are you constipated? And for how long?
  • What medications do you take?
  • Do you smoke, drink coffee or alcohol?
  • Do you have diabetes or is there a family history of it?
  • Do you have any other urinary symptoms?


Based on your answers to these questions in combination with results from your physical exam and other tests that may be given, Dr. Fenig can provide a wide variety of services and treatment options, including the latest medications, minimally invasive outpatient procedures and surgical options.


Diagnosing Urinary Incontinence

Once you have completed the evaluation, there are a number of diagnostic techniques that Dr. Fenig can perform to help determine the cause of your urinary incontinence and the most appropriate treatment plan.

The two most common diagnostic procedures Dr. Fenig performs include:

  • Cystoscopy: Dr. Fenig utilizes a small telescope to look inside the bladder. This is a minimally invasive outpatient procedure which lasts less than five minutes. It allows Dr. Fenig to assess your bladder for stones, tumors, and signs of obstruction such as urethral scarring or an enlarged prostate, or other abnormalities that may cause your symptoms. 
  • Urodynamics: This is an outpatient procedure which involves placing a small catheter into the bladder and another catheter in to the rectum. Bladder pressure is measured as the bladder is filled and emptied. This minimally invasive test helps to determine the cause of your symptoms and allows Dr. Fenig to determine the appropriate therapy.


Other diagnostic tools and tests that may be utilized to determine the cause(s) of your incontinence include:

  • Urinalysis and Urine Culture: Determines any existing abnormalities such as urinary tract infections, blood in your urine and early detection of damage to your kidneys.
  • Uroflow: Measures the flow of the urine stream and helps assess the ability of the bladder to empty.
  • Bladder Scan: Non-invasive ultrasound test that assesses the ability of the bladder to empty.
  • Radiological Studies: Identifies the presence of abnormalities by using ultrasound of the genitourinary tract.
  • Voiding Questionnaire and Diary: Provides pertinent information regarding behavioral characteristics and voiding patterns.

Learn more about treatments for male urinary incontinence here.