Urinary incontinence is a condition where you don’t have much control over your bladder, and have involuntarily leaks. It may occur more frequently as you age.
Among the different types of incontinence, urge incontinence is common among men. It causes a sudden urge to urinate, and is difficult to delay. Urge incontinence leads to involuntary leaks and even urine dribbling after emptying the bladder.
This article will talk about urge incontinence and urine dribbling, its causes, and ways to address them.
What Is Urge Incontinence?
Simply put, urge incontinence is a strong and unexpected urge to urinate. It may involve involuntary urination before you get to your bathroom. If you suffer from this, you may need to urinate more frequently, even as often as multiple times a night.
The most common symptoms include:
- Sudden urge to pass urine
- Unexpected and uncontrolled loss of urine
- Leakages while sleeping
- Urinating more often throughout the day and night
Moreover, this sudden need to pass urine may be triggered by the sound of running water, or even a slight change in the body’s position. You may also pass urine involuntarily during intercourse.
Urine Dribbling In Men
Also called post-micturition dribble1, men suffering from urine dribbling release urine drops shortly after emptying the bladder. Shaking the penis and zipping it up also doesn’t stop it. This happens when the muscles around the urethra don’t squeeze properly, leaving a pool of urine behind the base of the penis.
So, within a minute after urinating, this pool of urine starts dribbling out.
Causes of Urge Incontinence
If you’re wondering what causes frequent urination in men or urge incontinence, it’s mainly due to problems in the bladder.
There are detrusor muscles on the bladder’s walls, enabling the bladder to fill up with urine. When they contract, you are able to empty the bladder. However, when these detrusor muscles contract too often, you feel a sudden urge to urinate. It may cause some urine leakage via the sphincter muscles located at the bladder’s opening.
Other causes of urge incontinence include:
- Urinary tract infections
- Bladder inflammation
- Bladder cancer
- Enlarged prostate
- Nervous system damage due to multiple sclerosis2
To begin with, diagnosing the problem, the doctor will ask all about your medical history and existing complications. They may also perform the following tests:
- Pelvic floor assessment tests - For understanding pelvic muscle strength
- Stress testing - You might be instructed to perform tasks that cause incontinence symptoms
- Urinalysis - To examine the signs of infection or other complications
- Urinary bladder ultrasound - Enables the doctor to evaluate the amount of urine left after you empty the bladder
- Urine culture test - This is done to check the presence of bacteria in urine and urinary tract infections
Treatment for Urge Incontinence
Some of the treatment procedures for urge incontinence are:
Using a Catheter
You can insert this flexible tube into the urethra to drain out the urine properly. Additionally, you can also use this device for other conditions like functional incontinence and overflow incontinence. Men can insert the device multiple times for emptying the bladder completely.
These devices look like pacemakers and are placed under your abdomen. Its lead wire is hooked to your sacral nerve and sends light impulses to it. This allows the device to handle the functioning of your bladder.
In this process, you only urinate at specific times of day, and only when you feel the urge. This will increase your ability to control your urinating schedule and bladder.
These may be injected into your bladder to prevent it from over contracting, while also relaxing the bladder muscles as well. However, based on your condition, multiple Botox injections may be required.
How to Treat Urine Dribbling
Pelvic floor muscle exercises are helpful in this case. Additionally, you can gently press the area behind your scrotum to move the remaining urine drops out. You can attempt to shake or squeeze out the last few drops.
Top Products for Treating Urge Incontinence
If you're suffering with persistent incontinence and are fed up with it, it doesn't have to control your life any longer. With the help of some top-of-the-line incontinence solutions capable of absorbing all of the fluids and smells right away, you may reclaim some semblance of normality. Here are a few top products:
- Prevail Incontinence Guards - Maximum absorbency; men
- Tranquility Select Incontinence Pad - Light absorbency; unisex
- Caroli Incontinence Pullup Underwear - Heavy absorbency, odor locking; unisex
- TENA Extra Disposable Underpad - Light absorbency, waterproof backing; unisex
Can PTSD cause incontinence?
Urinary incontinence is very prevalent in people with PTSD. The stress of experiencing a trauma, as well as the anxiety it may cause, can cause an individual's fight or flight reaction to activate. Nerves in the body are activated when adrenaline enters the body, making it simpler to respond to stimuli. More blood flows through the body when the heart rate rises throughout this procedure. As a consequence of the increased blood flow through the body, the kidneys filter more blood, resulting in an increase in urine output and a quicker filling of the bladder. The bladder muscles tighten and constrict as a result. This may cause an accident by increasing the amount of pressure on the bladder and signaling the discharge of pee.
Is it necessary to pee as soon as you feel the urge?
Empty your bladder whenever the desire arises as a general rule. Fill up completely each time you go, and don't hurry the procedure. Peeing may be unpleasant, uncomfortable, or even impossible due to certain medical problems.
Is it normal to pee 20 times in a day?
The average person will urinate 6–7 times per day throughout the course of a 24-hour period. If a person is healthy and content with the amount of times they use the bathroom, between 4 and 10 times per day may be considered typical.
For some people, urge incontinence is just a mild inconvenience that they can handle. Healthy lifestyle choices, such as consuming fibrous food and drinking more water, can help alleviate symptoms.
However, if the condition has a significant impact on your daily activities, and you face symptoms such as pain while urinating, seek immediate medical assistance.
- Yang, Dae Yul, and Won Ki Lee. “A current perspective on post-micturition dribble in males.” Investigative and clinical urology vol. 60,3 (2019): 142-147.
- Zecca C, Riccitelli GC, Singh A, Panicari L, Disanto G, Digesu GA, Puccini F, Gobbi C, Mattioli M, Tubaro A. Urinary incontinence during multiple sclerosis: severity, prevalence, and impact upon the patient’s quality of life. Eur Neurol. 2016 Jul;23(7):1228-34. Epub 2016 Apr 27. PMID: 27120000.
Disclaimer: The information presented here is purely for educational purposes and should not be used in place of the advice of your doctor or physician.