Once Dr. Fenig determines the cause(s) of your urinary incontinence, he will develop a treatment plan that is based on your individual condition. Before beginning any treatment, Dr. Fenig will thoroughly discuss all potential options with you, taking into account your age, medical history and lifestyle, to find the treatment that best suits your individual needs.
Treatments for Male Stress Incontinence
- Injectible Bulking Agents - This procedure takes about 10 minutes under light anesthesia. Using a tiny camera, a bulking agent like collagen is injected into the tissue around the urethra. This causes compression on the urethra, reducing the degree of urinary incontinence. Unfortunately, the material may gradually dissolves, so repeat injections may be required every six to 12 months. This procedure is indicated for the treatment of mild stress incontinence.
- Male Urethral Slings - Another surgical approach involves using what are called urethral slings. Currently there are two types of slings available for male stress incontinence. The first anchors to the bones in your pelvis and compresses the urethra closed. The second is a thin strip of material that forms a hammock under the urethra and repositions the urethra to a closed position. Depending on the degree of your incontinence and previous history of other procedures, Dr. Fenig will determine which sling is right for you.
- Artificial Urinary Sphincters - For men with severe urinary incontinence, an artificial urinary sphincter can be used with great success. Available for nearly 35 years, these devices provide excellent and reliable results, with most patients being extremely satisfied with the results. A cuff is placed around the urethra causing compression of the urethra and decreased stress incontinence. The device is placed completely inside your body to provide simple, discreet urinary control. Urination is controlled by squeezing and releasing a pump, located in the scrotum.
Treatments for Male Urge Incontinence
- Medication therapy - Frequently, difficulty urinating is often caused by problems with the prostate or bladder neck. Alternatively, some men suffer from overactive bladder. Medications to relax the prostate muscle or to relax the bladder may help alleviate some of your symptoms.
- Prostate treatments - Many men suffer from benign (not cancer) enlargement of their prostate. Often, men complain of difficulty starting their urine stream, decreased force of stream or going to the bathroom frequently especially at night. For these men, Dr. Fenig offers multiple minimally invasive treatment options and can also perform new techniques to vaporize and shrink the prostate.
- Sacral Nerve Stimulation - A small implant is placed into the hollow of your pelvic bone, which can help to reduce urinary frequency and urgency. This procedure is performed on an outpatient basis and is a minimally invasive option to help patients who have failed conservative treatment options.
Non-Invasive, Non-surgical Therapy
Kegels are exercises that help you strengthen the muscles below the bladder that help control urination. These simple exercises can help you improve or even completely regain bladder control. Kegels are easy to do, once you know which muscles to target. One of the easiest ways to locate your muscles is during urination. Here's how:
- Halfway through urination, try to stop or slow down the flow of urine
- Don't tense the muscles in your buttocks, legs, or abdomen, and don't hold your breath
- When you can slow or stop the flow of urine, you've successfully located these muscles
How to do Kegel exercises:
- Contract these muscles for a slow count of five
- Release the muscles to a slow count of five
- Repeat 10 times
- Do a set of 10 Kegels daily, three times a day
- Do not to tense your buttocks, legs, or stomach muscles
No matter the cause or degree of urinary incontinence, Dr. Fenig’s goal is to provide you with the best option to regain control as soon as possible.