Overflow incontinence (chronic urinary retention) in men

Benign Enlarged Prostate - A Common Cause of Problems

An enlarged prostate, commonly referred to as benign prostatic hyperplasia (BPH), is often the cause of urinary problems in older men. The prostate, which is normally about the size of a chestnut, begins to enlarge around age 50 due to age-related hormonal changes. This slow growth can cause the urethra to become obstructed, leading to difficulties in urination and typical symptoms of an enlarged prostate, such as:

• Weak urine stream
• Intermittent urination
• Difficulty starting urination
• Feeling of incomplete bladder emptying
• Frequent urination, especially at night
• Dribbling after urination
• Sudden strong urge to urinate and involuntary loss of urine
• Pain, burning and pulling during urination
• Blood in urine

In severe cases, the urethral obstruction can progress to complete urinary retention, causing painful bladder expansion and requiring immediate medical intervention.

Chronic Urinary Retention and Overflow Incontinence

Overflow incontinence, also known as "drip incontinence," is a result of chronic urinary retention. The blockage of the urethra causes urine to accumulate in the bladder, gradually stretching its wall muscles and increasing pressure. This can cause urine to continuously leak and even lead to kidney problems if the urine backs up.

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Other Causes of Incontinence

Diagnosis and Treatment of Overflow Incontinence

To effectively treat overflow incontinence, the underlying cause must be identified. If an enlarged prostate is suspected, the doctor will perform a physical examination, measure the urine stream and residual urine, and possibly conduct an ultrasound examination. A blood test for the tumor marker "prostate-specific antigen" (PSA) may also be conducted to distinguish between benign and malignant growth.

The treatment of overflow incontinence depends on the stage of the disease. In early stages, medication may be sufficient. As the prostate enlarges and symptoms worsen, surgery may be the most effective option. Neurogenic or psychogenic forms of incontinence can be more difficult to treat and usually require symptomatic treatment with medication.

To gain a better understanding of the different treatment options available, be sure to read our article "Treatment Options"

Incontinence After Prostate Surgery

Urinary incontinence and bladder leakages after prostate surgery is a common occurrence, but it is important to remember that it is usually only temporary. The removal of the prostate during surgery can result in stress incontinence, similar to womens‘ stress incontinence. However, pelvic floor training can help strengthen the external sphincter muscle and improve its locking force. If you have recently undergone prostate surgery and are concerned about incontinence, be sure to read our article "Incontinence after Prostate Surgery" for more information and guidance.