Enlarged Prostate

An Overview of Enlarged Prostate and Common Causes!  

Urinary Incontinence

Urinary incontinence which is an involuntary loss of urine, is an embarrassing urologic disorder that can significantly affect the individual's quality of life!

Causes Of Enlarged Prostate

Causes Of Enlarged Prostate

Symptoms Of Enlarged Prostate
Benign Prostatic Hyperplasia
Prostatic Carcinoma


Types Of Urinary Incontinence

Stress Incontinence
Stress incontinence is particularly common in women (rare in men), and is characterized by sudden leakage of urine in response to stress. The leakage of urine is worse during the day. Instantaneous leakage of urine which occurs with coughing is suggestive of stress incontinence. This condition if severe, is often treated with surgery, while mild to moderate cases benefit from pelvic muscle exercise. Some cases are also treated with alpha-adrenergic agonist ( if not contraindicated) and estrogen. Tampon may provide some relief.

Urge Incontinence
This type of urinary incontinence is caused by involuntary bladder detrusor muscle contraction without any neurological disorder. It is the commonest form of urinary incontinence in the elderly population. It is  characterized by leakage of urine caused by intense and sudden desire to urinate that brooks no delay. Individuals with urge incontinence may also experience increased frequency of urination, and waking up to urinate at night. Careful evaluation should be done to rule out bladder stones as this may also cause detrusor instability. Several other conditions may predispose to this condition and few of these include Parkinson's disease, Alzheimer's disease, spinal cord injury or multiple sclerosis. Urge incontinence may also be referred to as unstable bladder or hyperreflexic bladder.  The main emphasis of treatment is behavioral therapy. Use of medications for this condition are carefully monitored, as they may precipitate urinary retention.

Overflow Incontinence
Overflow incontinence occurs with over distension of the bladder which may result from obstruction ( e.g. with prostate enlargement). The over distention of the bladder leads to constant dribbling or leakage of urine. Other causes of obstruction to urinary flow include; urethral stricture and fecal impaction. Conditions such as diabetes, syphilis, and spinal cord compression result in hypotonic bladder and subsequently cause bladder distention and overflow incontinence. Generally, the treatment of choice is to correct the underlying cause. 





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