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Male Incontinence Treatment

Treating Male Incontinence With Catheters

If all other methods fail or are found unacceptable, you may consider controlling incontinence by using a catheter, a thin tube inserted through the urethra to drain the bladder. Catheters must be managed with great care to avoid infection and stone formation. Options include:
  • Clean intermittent catheterization: If you have problems emptying your bladder because of an enlarged prostate or because of nerve damage, you may use a catheter either at regular times or as needed to drain urine and prevent overflow incontinence. Depending on your situation, the catheterization may be done for you, or you may learn to do it yourself. You will need to learn about good sterile technique to avoid urinary tract infections.
  • Condom catheter: Some men may prefer a drainage system that fits over the penis like a condom. You must take the same care to avoid infection as you do with other catheters. Condom catheters can also carry a risk of skin breakdown.

Urethral Injections as a Male Incontinence Treatment

Another method to help keep the urethra closed is to inject a fat-like substance into the area that surrounds the opening of the bladder into the urethra. A variety of bulking agents are available for injection. Your healthcare provider will discuss which one may be best for you. Collagen, for example, is a natural tissue from cows.
After using local anesthesia or sedation, a healthcare provider can inject the material in about half an hour. Over time, the body slowly eliminates the collagen, so you may need to have repeat injections. Before you receive a collagen injection, your healthcare provider will perform a skin test to determine if you could have an allergic reaction to the material.
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