Male Urinary Incontinence and Voiding Problems

Urinary incontinence in male patients is most often associated with enlargement of the prostate, or benign prostatic hyperplasia (BPH), but it can also be associated with other conditions such as multiple sclerosis, spinal cord injury, urethral stricture, disc disease, stroke, bladder cancer and even stones. In the absence of previous urologic or pelvic surgery, careful evaluation of male incontinence is mandatory and often requires urodynamic studies which are pressure measurements within the urinary bladder and sphincters combined with simultaneous x-ray imaging. This provides the most accurate assessment of bladder and sphincter function or dysfunction.

Certain urologic or pelvic surgeries can occasionally leave a patient incontinent such as radical prostatectomy, transurethral resection of prostate (TURP), rectal and colon surgery and spinal surgery. Radiation therapy for pelvic malignancies such as prostate cancer or rectal cancer can also cause urinary incontinence.

The Wayne State University Department of Urology has a full state of the art urodynamics laboratory. A large experience with the evaluation and treatment of male incontinence and voiding problems is available.

Our faculty has extensive expertise is in the treatment of post-prostatectomy and post-radiation incontinence with medical therapy, minimally invasive treatment with collagen, and surgical options such as placement of an artificial urinary sphincter (AUS) or bladder augmentations or various forms of urinary diversion.