Pelvic Health Naturally

Author: iMEDicare

Date: Oct 2019

1 in 10 men in the UK experience a loss of bladder control.

Despite that incontinence is more common than hay-fever, and impacts considerably on confidence and emotional wellbeing, very few men seek help and a solution. iMEDicare supply World class home use medical devices for the management and treatment of urinary incontinence for men (est. 2004). See the product line up below . Be confident again and choose life – not leaks.

Urinary incontinence, weak bladder, over-active bladder, urinary leaks… These are just a few of the terms used to describe what commonly happens when you cough, sneeze, laugh or lift or when you simply cannot hold it in like you used too. You are not alone. The first step to addressing urinary leaks is to understand how the mechanics of the body work, and that more often than not, urinary leaks can be due to having a weakened pelvic floor. It can be incredibly embarrassing and so often suffered in silence but bladder weakness or incontinence in men is fairly common effecting 1 in 10 men. Generally experienced by men following prostate or pelvic surgery, it can be one of the biggest challenges you have to overcome during the recovery process.

Post Micturition Dribble (PMD), or after dribble, is the name given to the problem when men experience an involuntary loss of urine immediately after they have finished passing urine, usually after leaving the toilet. It is not caused by stress from exertion or due to a problem with the bladder, and it should be distinguished from terminal dribble, which occurs at the end of passing urine. The condition can be a nuisance and cause embarrassment. It may occur in women but it is much more common in men.

Most men with PMD urinate normally however PMD is likely to occur when the penis is being replaced and clothes rearranged after a visit to the toilet. Trousers can end up getting wet. Men usually find that even after waiting and gently shaking, the problem remains.

PMD is due to a weakness of the muscles of the pelvic floor which surround the urethra. The pelvic floor muscles can be weakened by:

  • Operations for an enlarged prostate
  • Continual straining to empty the bowels especially when constipated
  • Constant cough, for example, a smoker’s cough
  • Overweight
  • Neurological damage
  • Persistent heavy lifting

Other signs of urinary dysfunction are not normally present, although some men have symptoms such as urgency, frequency, hesitancy and straining. For older men, they may develop PMD following a prostatectomy and may have associated urinary symptoms.

Few men admit to having this problem but a great many suffer from it and are often badly embarrassed by it. Men of all ages can be affected. There are two proven ways of dealing with this problem. One is to perform pelvic floor exercises, the other is to push the last few drops of urine from the urethra with the fingers before the final shake.

Urethral Control Devices: Pacey Cuff® is the newest version available that allows men to control accidental leakage. It can be worn for up to 60 minutes at a time and is suitable for swimming.

Wearever® is a washable incontinence underwear: comfortable cotton material with modern styling options for men and ladies, and a built in washable absorption pad (150ml / 300ml and 650ml) that can be washed up to 250 times – much better for the environment and incredibly discrete.

Urinal Devices such as Afex Core® can be the ideal solution for outdoor activities. Urine drains out from a double walled soft PVC receptacle that houses the penis, through a non-return flapper valve into variable sized thigh bags or leg bags depending on the severity and volume of leakage, and your mobility. The urine is contained within the waterproof bag, you stay dry and odour isn’t an issue - just empty when convenient. Available on NHS prescription.

INNOVO® External NMES Shorts provides an effective and long-lasting solution for leaks, and can get you back to living the spontaneous and carefree lifestyle you deserve. INNOVO® is a non-invasive way to restore your pelvic floor, treating the primary cause of urinary leaks rather than just masking the symptoms . Using a hand held controller that is attached to cycling shorts like garment, INNOVO® sends targeted impulses via conductive pads (attached to your upper thigh and buttocks) to safely and effectively activate all the muscles of the pelvic floor or to calm your bladder.

We would encourage you to ask your GP to arrange a visit with your local continence management nurse and possibly Hospital based Urologist and / or pelvic floor physiotherapist to look for definitive treatment solutions.

In the meantime, Be confident again and choose life – not leaks.

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Last revised: 8 October 2019

Next review: 11 September 2020