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There are two main types of incontinence in men. Stress incontinence is related to the leakage of urine when there is an increase in abdominal pressure. For example, when running, lifting, jumping, coughing or laughing. Urge incontinence occurs when there is an overwhelming urge to go to the toilet, but you are unable to make it there in time. These types of incontinence will often exist together.

Overactive bladder presents as a higher than usual frequency of needing to urinate. This will often occur with urgency and low volumes. These symptoms can be caused by hormonal changes or post-infection/surgery.

The most common cause of incontinence in men is prostate enlargement or following prostate surgery. But it can also be the result of bladder muscle dysfunction and neurological disorders.

Symptoms of male incontinence and overactive bladder

Incontinence symptoms include leakage, stress and urge incontinence, overflow incontinence (feeling the bladder never fully empties), nocturnal leakage and frequent urination.

In the case of an overactive bladder, patients will often feel a sudden, urgent need to urinate that is difficult to defer. Plus, frequency, nocturnal urge, urge incontinence and small bladder capacity.

Treatment for male incontinence or overactive bladder

Treatment with a qualified men’s physiotherapist may include:

– Pelvic floor muscle assessment – Bladder habit assessment and retraining – Fluid analysis and education – Diet and lifestyle advice – PTNS (posterior tibial nerve stimulation) – Acupuncture/dry needling – Visceral release/massage – Penile clamp use/education

Relevant Services

Men’s health

Our Clinics

We have two convenient Physiotherapy clinics in Perth.