Incontinence Options

My dad is 94. He has no trouble with incontinence while sleeping, but any movement (sitting up, standing, walking) during the day causes an immediate problem - more than can be handled by adult underpants. He takes a diuretic daily which makes the problem worse. He has been to several urologists and has tried all of the popular drugs plus exercising. Nothing seems to help. His health is generally good and his mind is very alert, but this problem keeps him homebound and makes him very depressed. I believe most doctors dismiss surgical solutions because of his age. Are there any suggestions?

[Dr J Singh]

Hi,
Your father seems to suffer from Stress Incontinence. The incontinence which is associated with physical activities is classically described as stress incontinence. It can be treated with surgery, pelvic floor physiotherapy, and anti-incontinent devices. I’ll suggest you to please consult a urologist for the same and seek treatment.
I hope that helps. Please do keep me posted. Kind Regards.

[fastexams]

Thanks for your response. My dad lives in Ft Myers , FL. Do you know of a way to find a urologist who specializes in elderly incontinence problems? He has been to 2 urologists and they keep perscribing drugs that don't work. Essentially they are telling him to just live with it.

Again, thanks for your help

[rmprdl1964]

Hi,

One of the things that I have used myself a few times is a condom catheter and leg bags to collect the urine into.

As long as the penis and skin are healthy a condom catheter might be a good option.
From pads and incontinece underwear there is allways contact of the urnine to the rest of the pelvic skin involved. This can produce a rash as well as bad odur.

The condom catheter is applied to the penis and only the penile skin is in contact with urine. Urine from unexpected leakage is routed from the penis to the leg bag.

I myself prefer it over pads or other forms of incontenence cotrol items. A doctor should be able to determine if this is a good option.

God bless,

Ron