Written by
Læge

Praktiserende læge, ph.d.
Urinariorum incontinentia
Urinary leakage is most commonly seen in older men over 70 years and is usually due to problems with prostate disease. Most can be helped with bladder and pelvic floor training and medicine. In some cases, the problem can not be eliminated, and the elderly must live with urinary leakage and use diapers or get a catheter.
Urinary leakage is rarely seen in younger men. Men over 70 are affected and at + 80 years the condition is very frequent.
An enlarged prostate is the completely dominant cause of urinary leakage. The prostate (bladder gland) grows with age and clamps on the urethra. This makes the urination difficult and can lead to urine leakage. If the prostate is sufficiently large, an operation is required. After surgery, some will have trouble holding the water – and getting urine leakage.
However, bladder infection and following a brain bleeding can lead to urinary leakage.
The treatment of urinary leakage consists of bladder training, pelvic floor training and medicine. If this does not help, the elderly should live with urine leakage and use diapers.
You can try the bladder and pelvic floor training yourself. For bladder training, try to charge the water at certain times, for example every three hours. You must avoid staying too long, but at the same time also avoid going to the toilet every time you feel cramped. Pelvic floor training can be learned from a physiotherapist.
If you are still suffering from urine leakage despite bladder and pelvic floor training. If you have frequent and stingy urination – it may be a sign of cystitis.
Your doctor will examine your urine, take blood samples, feel on your prostate through the rectum and hand out a schedule, where you write down how much you drink and how you are leaking. Based on these studies, the doctor can figure out what is the reason and give you a treatment.
Never necessary.