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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Urinary Incontinence In An Adult

my husband suffers from severe incontinence problem, He wets the bed in sleep and in the morning finds it difficult to get to the toilet. he wets his clothes and the floor, etc. Is he eligible to some help through the benefits? When he comes home he has to rush to the toilet and he does not reach on time and wets his clothes, etc. this hasworsen now.?
Mon, 15 May 2017
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Urologist 's  Response
Hi.
urinary incontinence in male is unlikely. The history is incomplete.
I would like to know age of patient, any past history of surgery like TURP, any spinal surgery or trauma; is he diabetic.
In elderly male with enlarged prostate, there can be overflo incontinence. He may require surgery.
In elderly male with past history of TURP...there could be sphincteric damage leadjng to continuous urinary leak. He may need artificial urinary sphincter.
If there is history of spinal injury or spinal surgery or patient is diabetic, he may have neurogenic bladder leading to urinary incontinence. He may need cholinergics like bethanecol and adrenergic blockers like Tamsulosin.
If he has Urinary infection, he needs treatment with antibiotics.

So with proper history and preliminary tests like urine routine and culture and Ultrasound KUB patient can be followed.
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Suggest Treatment For Urinary Incontinence In An Adult

Hi. urinary incontinence in male is unlikely. The history is incomplete. I would like to know age of patient, any past history of surgery like TURP, any spinal surgery or trauma; is he diabetic. In elderly male with enlarged prostate, there can be overflo incontinence. He may require surgery. In elderly male with past history of TURP...there could be sphincteric damage leadjng to continuous urinary leak. He may need artificial urinary sphincter. If there is history of spinal injury or spinal surgery or patient is diabetic, he may have neurogenic bladder leading to urinary incontinence. He may need cholinergics like bethanecol and adrenergic blockers like Tamsulosin. If he has Urinary infection, he needs treatment with antibiotics. So with proper history and preliminary tests like urine routine and culture and Ultrasound KUB patient can be followed.