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What Are The Possible Reasons For Urinary Incontinence?

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Posted on Wed, 20 Apr 2022
Question: What are the possible reasons for incontinence?
When I wake up during the night, having to pee, I frequently can't hold it back. some "spurts" are released.
doctor
Answered by Dr. Olgeta Xhufka (1 hour later)
Brief Answer:
Prostate and peripheral neuropathy may be the reasons.

Detailed Answer:

Hello,

There are several reasons for urge incontinence.
I wanted to know if you have ever check the prostatic gland by ultrasound and PSA.
The prostate issues are the main leading problem of incontinence in men.
Also you have neuropathy and nerve damage due to it can lead to incontinence.
Alpha blockers such Tamsulosin are used to treat incontinence in men.

Hope I have answered the question. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Olgeta Xhufka (47 minutes later)
Prostrate, PSA, very good.
How would neuropathy effect me??
I do sometimes think the mental instruction to hold it tight has the opposite effect, thus the spurt.

doctor
Answered by Dr. Olgeta Xhufka (24 minutes later)
Brief Answer:
Urodynamic evaluation needed.

Detailed Answer:
Hello of, neuropathy affects the inervation of bladder, and the sensation of bladder change making it less sensitive to feel the need to urinate in time or more sensitive making it to feel pain and discomfort.
Tamsulosine can help you.
May be you should do an urodynamic evaluation at urologist office.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
Dr.
Dr. Olgeta Xhufka

General & Family Physician

Practicing since :2011

Answered : 10166 Questions

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What Are The Possible Reasons For Urinary Incontinence?

Brief Answer: Prostate and peripheral neuropathy may be the reasons. Detailed Answer: Hello, There are several reasons for urge incontinence. I wanted to know if you have ever check the prostatic gland by ultrasound and PSA. The prostate issues are the main leading problem of incontinence in men. Also you have neuropathy and nerve damage due to it can lead to incontinence. Alpha blockers such Tamsulosin are used to treat incontinence in men. Hope I have answered the question. Let me know if I can assist you further.