Adult Bedwetting

[4warned]

I am a 60 year old male and have had a problem, over the last ten years, with bedwetting on an infrequent basis, maybe 1 or 2 times a month.
The occurences follow no particular pattern, can happen either with or without the consumption of alcohol.
Had this investigated at the beginning and consultant was unable to find a cause. Since then my prostate has become enlarged, benign, taking medication for this but still  means getting up a couple of times a night.
Even doing this does not ensure that an episode of bedwetting will not occur.
Any ideas


This discussion is related to Adult Bedwetting.

[Dr Smitha Mathews]

Hi,
  What you describe has been associated with the lower urinary tract symptoms of BPH (benign prostatic hypertrophy).
  SOme measures that you can take to help relieve this condition is as given below:

"For some men, avoiding incontinence is as simple as limiting fluids at certain times of the day or planning regular trips to the bathroom—a therapy called timed voiding or bladder training. As you gain control, you can extend the time between trips. Bladder training also includes Kegel exercises to strengthen the pelvic muscles, which help hold urine in the bladder. Extensive studies have not yet conclusively shown that Kegel exercises are effective in reducing incontinence in men, but many clinicians find them to be an important element in therapy for men."
kidney.niddk.nih.gov/kudiseases/pubs/uimen

In addition, you can also make dietary adjustments to minimize passing urine at night by:
  Reducing tea and caffeine intake after 5 pm.
   Wearing a pad on the nights when you have consumed a moderate dose of alcohol.
  performing Kegel's exercises to improve the tone of your pelvic muscles.
  reducing the intake of fluids to a minimum 4 hours before bedtime.

Do post us your doubts and keep us updated on your progress.

regards

[DrKalraMD]

Hi, probably this overflow incontinence. In this condition, patients never feel the urge to urinate, the bladder never empties, and small amounts of urine leak continuously. Overflow incontinence is prevalent in older men with an enlarged prostate.

“Overflow incontinence is a common symptom of benign prostatic hyperplasia. The prostate is located directly beneath the bladder and in front of the rectum. The upper portion of the urethra passes through the prostate, so when the gland becomes enlarged it may obstruct the passage of urine through the urethra.

Neurogenic bladder associated with overflow incontinence is caused by the loss of sensation of bladder fullness due to damage or obstruction of sacral nerves (located in the five vertebrae above the sacrum). This may result from certain types of surgery on the spinal cord, sacral spinal tumors, or birth defects. It also may be a complication of various diseases such as diabetes mellitus and polio”. Taken from website http://www.urologychannel.com/incontinence/overflow/index.shtml