Male Urinary Incontinence: Difference between revisions

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== Introduction ==
== Introduction ==
Normal urinary continence is maintained when the closure pressure of the urethra is greater than the pressure from the bladder above it. This requires a complex interaction between the autonomic nervous system that controls the more proximal smooth muscles of the internal urethral sphincter and the somatic nervous system that controls the striated muscles of the external urethral sphincter.<ref>Hodges PW, Stafford RE, Hall L, Neumann P, Morrison S, Frawley H, Doorbar-Baptist S, Nahon I, Crow J, Thompson J, Cameron AP. [https://www.sciencedirect.com/science/article/pii/S1078143919304946 Reconsideration of pelvic floor muscle training to prevent and treat incontinence after radical prostatectomy]. InUrologic Oncology: Seminars and Original Investigations 2019 Dec 25. Elsevier.</ref>
{| class="wikitable"
|+<ref>Roscher, P. Men's Health. Male Urinary Incontinence. Physioplus. 2022.</ref>
!
!Innervation
!Type of Muscle
!Function and Features
|-
|Internal Urethral
Sphincter
|Autonomic control
|Smooth muscle
|
* Stronger than external sphincter
* Can sustain control for longer when under pressure
* High threshold for fatigue
|-
|External Urethral
Sphincter
|Somatic voluntary control
|Striated skeletal muscle
|
* Can substitute for internal urethral sphincter with training (e.g. after prostatectomy)
* Low threshold for fatigue, can get sore or experience cramps
|}
Problems can occur for a variety of reasons. There can be problems with the closure mechanism of the urethra which would result in stress incontinence or problems with the bladder itself which could result in frequency, urgency and urge incontinence.


== Types of Male Urinary Incontinence ==
== Types of Male Urinary Incontinence ==

Revision as of 05:23, 22 March 2022

Original Editor - Stacy Schiurring based on the course by Pierre Roscher
Top Contributors - Stacy Schiurring, Kim Jackson, Lucinda hampton and Jess Bell

This page aims to provide an introductory discussion of men's health physiotherapy with regards to male sexual dysfunction. Please note that further training is required through a reputable pelvic health education company before attempting the techniques discussed in this page. See the Resources section at the bottom of this page for links to pelvic and men's health special interest groups.

Introduction[edit | edit source]

Normal urinary continence is maintained when the closure pressure of the urethra is greater than the pressure from the bladder above it. This requires a complex interaction between the autonomic nervous system that controls the more proximal smooth muscles of the internal urethral sphincter and the somatic nervous system that controls the striated muscles of the external urethral sphincter.[1]

[2]
Innervation Type of Muscle Function and Features
Internal Urethral

Sphincter

Autonomic control Smooth muscle
  • Stronger than external sphincter
  • Can sustain control for longer when under pressure
  • High threshold for fatigue
External Urethral

Sphincter

Somatic voluntary control Striated skeletal muscle
  • Can substitute for internal urethral sphincter with training (e.g. after prostatectomy)
  • Low threshold for fatigue, can get sore or experience cramps

Problems can occur for a variety of reasons. There can be problems with the closure mechanism of the urethra which would result in stress incontinence or problems with the bladder itself which could result in frequency, urgency and urge incontinence.

Types of Male Urinary Incontinence[edit | edit source]

Stress Incontinence[edit | edit source]

Urge Incontinence[edit | edit source]

Mixed Incontinence[edit | edit source]

Physiotherapy Treatment for Male Incontinence[edit | edit source]

Resources[edit | edit source]

  • bulleted list
  • x

or

  1. numbered list
  2. x

References[edit | edit source]

  1. ↑ Hodges PW, Stafford RE, Hall L, Neumann P, Morrison S, Frawley H, Doorbar-Baptist S, Nahon I, Crow J, Thompson J, Cameron AP. Reconsideration of pelvic floor muscle training to prevent and treat incontinence after radical prostatectomy. InUrologic Oncology: Seminars and Original Investigations 2019 Dec 25. Elsevier.
  2. ↑ Roscher, P. Men's Health. Male Urinary Incontinence. Physioplus. 2022.
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