Male Urinary Incontinence Treatment in Upper East Side, NYC

How do you treat stress urinary incontinence?

Amend offers several treatments for stress urinary incontinence, depending on its severity and cause.

Lifestyle changes

You may benefit from wearing extra absorbent pads when faced with a situation such as intense exercise. Dr. Amend also teaches pelvic floor muscle exercises (Kegel exercises) to help strengthen the area.

Losing weight if you’re carrying extra pounds, quitting smoking, and avoiding constipation help with stress incontinence.

Bladder training is another method of treatment. You learn to visit the restroom regularly so you don’t end up with a full bladder that’s ready to release from pressure.

Medical devices

Dr. Amend also offers medical devices for men that help with stress urinary incontinence. You may use an artificial urinary sphincter. This device consists of a cuff (wraps around your urethra to control urine flow) and a pump and balloon (moves fluid away from urethra). You’ll have to squeeze the pump to urinate.

Surgery

The most common surgery for stress urinary incontinence is urethral sling surgery, where Dr. Amend places a small strip of metal under your urethra to keep it lifted during activity.

Bladder neck suspension is another surgery that involves placing sutures in the tissue along the side of the bladder neck and urethra to support the urethra and sphincter muscles.

Contact the office of Gregory Amend, MD at (212) 241-4812, if you’re suffering from stress urinary incontinence.

Male Urinary Incontinence Treatment Options

Proper urinary incontinence treatment can help you return to a more natural lifestyle.

Regain dignity
Resume intimacy
Save money on protective garments

The type of incontinence that you are diagnosed with will determine your treatment options. Some options available are:

Behavioral modification
Medication
Surgery

Non-Surgical Treatments

The type of incontinence that you experience will determine your non-surgical treatment options. No single incontinence treatment works for everyone. In some cases, treatment for one type of incontinence can actually worsen another. It’s a good idea to discuss all the options with your doctor.

Non-surgical treatment options include:

Absorbent products (pads)
Catheters;
- Internal
- External
- Incontinence or penile clamps
Behavioural modification
- Kegel exercises
- Limiting liquids
- Timed urination
Medication
- Changing existing medications
- New medication

If these options are not suitable for the type of incontinence you experience or your lifestyle, there are also minimally invasive surgical options to consider.

Surgical Treatments

Why choose a Surgical Treatment?

Choosing a surgical solution offers a possible permanent solution

Once an accurate diagnosis is made by your urologist, it may be determined that the best way to treat your incontinence is to have a bulbourethral sling implanted, such as the Virtue® Male Sling (Coloplast Corp.).

The Virtue® sling is made of a soft, flexible polypropylene mesh material, and is implanted to support and elevate the bulbous urethra. By applying a gentle compression, this helps to prevent urine leakage.

Typically, Virtue is inserted during an out-patient procedure. Individual recovery time may vary, but the average time is 4-6 weeks. During this time, heavy lifting should be avoided. Your physician will discuss your recovery plan in greater detail.

Virtue is a permanent solution. Once the sling is in place, you can enjoy the active lifestyle you had before, playing sports, dancing and just carrying in the groceries without fear of leaking.

Following the placement of a Virtue male sling, it is important to follow the instructions provided by your physician and on the document below to ensure the best outcomes. If you have any questions on the post procedure instructions, please contact your physician for clarification.

Important Safety Information

A male sling implant is concealed entirely within the body to address stress urinary incontinence (urine leakage) in men over the age of 18.

A sling implant is a surgical solution requiring a healing period that have risks associated with surgery such as pain, anaesthesia reactions, repeat surgery due to infection or reaction to implant material. Implant considerations may include your medical condition, lifestyle, personal preference and cost.

This treatment is prescribed by your physician. Although many patients may benefit from the use of this device, results may vary. Discuss treatment options with your physician to understand the risks and benefits of the various options to determine if sling implant is right for you.

The link between Incontinence and ED

Prostate Cancer does not create the problem; the treatments do. Many men who suffer from incontinence also have Erectile Dysfunction (ED), the consistent inability to sustain an erection sufficient for sexual intercourse.

Treatment options may affect continence and erections by impacting the nerves or blood flow. Such as:

Prostatectomy – radical, robotic, or nerve sparing:

During the procedure the nerve bundles or blood vessels may be damaged, affecting continence and/or erectile function.

Radiation therapy:

Over time, radiation therapy may damage blood vessels to the penis, preventing blood flow and affecting erectile function.

What is E.D.?

E.D. is the consistent inability to sustain an erection sufficient for sexual intercourse.

If you are experiencing E.D., speak to your urologist about permanent, drug-free treatment options, such as a penile implant.