Houston Methodist. Leading Medicine.
Houston Methodist. Leading Medicine

Urinary Incontinence in Men & Women

Urinary Incontinence in Men & Women

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Request an Appointment

Let us help you schedule your appointment.

Call 713-441-9229 to speak with our specially trained Coordinator or
request an appointment online.

If you are a physican and would like to refer a patient please call 713-441-9229 or download our Physician Referral Form.

The Methodist Center for Restorative Pelvic Medicine
6550 Fannin Street
Houston, TX 77030
713-441-9229
713-791-5023 fax
Maps & Directions

Urinary incontinence is the accidental loss of bladder control. This condition affects more than 15 million men and women, but is twice as common in women. Urinary incontinence ranges from occasionally leaking urine when you cough or sneeze, to having a sudden and strong urge to urinate.

Types of urinary incontinence include:

Stress incontinence – Occurs during certain activities like coughing, sneezing, laughing, exercising or heavy lifting.

Urge incontinence – Involves a strong, sudden and intense urge to urinate, followed by involuntary accidental loss of urine, also known as overactive bladder (OAB). Overactive bladder is a condition characterized by a sudden, uncomfortable need to urinate with or without urine leakage usually with daytime and nighttime frequency.

Overflow incontinence – A constant dribble of urine, with the inability to empty your bladder. In men, overflow incontinence can be associated with prostate gland problems.

Mixed incontinence – This incontinence includes more than one type of urinary incontinence, such as stress incontinence and urge incontinence.

Causes

The most common causes of incontinence, found in men and women, include:

  • Aging
  • Childbirth
  • Chronic diseases, such as diabetes
  • Urinary tract infections
  • Obesity
  • Prior surgical procedures in the pelvis
  • Prostate cancer treatments
  • Neurological disease (e.g., Multiple Sclerosis, Parkinson's disease, Stroke)
  • Spinal cord injury

Symptoms

Depending on the type of incontinence, patients may leak a small to medium amount of urine or may feel a sudden urge to urinate and the need to urinate often.

Some patients may also experience bladder problems, such as difficulty with bladder emptying. Urinary retention (inability to urinate) is a common complication for men with benign prostatic hyperplasia (BPH) or an enlarged prostate. Women with prolapse of the bladder also present with the same difficulty emptying their bladder.

Treatment

Treatments are different for each person and they depend of the type of incontinence you have and how much it affects your life. Treatment may include lifestyle changes such as cutting back on caffeine drinks, eating foods with fiber (to avoid constipation), smoking cessation, staying at a healthy weight or pelvic floor exercises.

Other treatments are available, including:

For stress incontinence:

  • Pelvic floor physical therapy
  • Urethral bulking agents
  • Minimally invasive sling surgery for men and women

For urge incontinence:

  • Botox injections into the bladder
  • InterStim neuromodulation
  • Percutaneous tibial nerve stimulation (PTNS)

Talk to our specialists

These issues can be embarrassing, but can be resolved. Your first step is to talk with one of our specialists. Call the Center for Restorative Pelvic Medicine at 713-441-9229 to find the right specialist and to schedule an appointment.

How to make an appointment

To schedule an appointment with a physician specializing in overactive bladder or incontinence, please call the Center for Restorative Pelvic Medicine at 713-441-9229.