Urinary Incontinence Help

[jack2550]

I'm suffering from Urinary Incontinence.  I'm 40 year old male.  I all ready have an enlarged prostate and had that for many years, but recently I've been dealing with incontinence.  I pretty much drip after every time I urinate and it may last for a half hour to hour after urinating.  I had a Cystoscopy and a Urodynamic and they didn't find anything wrong with the bladder.  My problem seems to be getting worse.  I was on medication but it doesn't seem to help.  Currently I had to start wearing pads because of the leakage.  Is there anything else I can do to solve this issue?  Any medications or anything else I can take?  Also, can having a Cystoscopy and a Urodynamic worsen the issue.  I've noticed a week or two after I had it the problem worsen.  I had it before the tests, but it seem to get worse.  Thank you for your help.

[jack2550]

Thanks for your response Phil.  My doctor suggested TURP I believe, but said I should wait since I don't have any children yet and if I have it I won't be able to.  I'll have to look into to that surgery.  I don't want to make it worse.  Right now I just get a little leakage after urinating that may last a few minutes after up until an hour, but after that it is fine.  I think I have stress incontinence, since I few times when I laugh, move up or down or changes positions in my chair I can feel leakage.  I'll probably ask my doctor to give me a stress incontinence test next time I go in.  Also, there are sometimes where it feels like I'm leaking, but then when I check it is dry and I don't see any drops in my underwear where other times I do see it and it is a drop or two.  I just hope it doesn't get any worse.  

[Phil112]

Not sure if this will help. I had TURP recently. I do not leak as much now but still wear pads. I have got the Sheath type catheter with small discreet leg bag. Unfortunately I cannot wear them yet as in my younger foolish years had a peircing under the penis head for a ring to go through and out urethera. The sheaths work fine and can recomend them as an alternative. Because of the peircing hole I get secondary leakage which causes sheath not to fit. Once I have had surgery to seal the hole I will use them for long journeys etc but probably rely on pads for near to home lifestyle. I never thought I would get used to either but you really do have to try whats available help to you. You then find life improves and you move on with it. Phil

[jack2550]

Thanks for your response.  No I haven't tried Flomax yet.  I could ask my doctor about it.  Right now he has me on a few different meds and I'm actually cutting back on one that I took for a long time that could cause some leakage.  Dealing with the leakage is very frustrating and I had to start wearing pads in my underwear when I'm out or at work.  Not sure if the problem will get worse or better.

[Millard]

Hi Jack,

I don't know if you have tried Flomax yet but may help with your BPH.  There is a surgery that I have heard people that it greatly changed their life for the better and it is called a TURP. (Transurethral Resection of the Prostate)  In some people this may cause permanent leaking so talk to your urologist before deciding.  If worse comes to worse, you could also use a condom catheter, sometimes called a Freedom catheter.  Life's not over, it is just getting a smite more challenging.

Good luck.

Millard