Conservative Treatment in Male Urinary Incontinence
Department of Neuro-Urology, University Hospital of the Rheinische Friedrich-Wilhelms, University of Bonn, Bonn, Germany
- Corresponding Author:
- Ruth Kirschner Hermanns
Department of Neuro-Urology
University Hospital of the Rheinische Friedrich-Wilhelms
University of Bonn, Bonn, Germanys
Tel: +49 (0) 228–381 349
E-mail: [email protected]
Received Date: July 27, 2016; Accepted Date: September 19, 2016; Published Date: September 26, 2016
Citation: Hermanns RK, Anding R (2016) Conservative Treatment in Male Urinary Incontinence. Physiother Rehabil 1:116. doi:10.4172/2573-0312.1000116
Copyright: © 2016 Hermanns RK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Prevalence, pathophysiology, diagnostic and therapeutic approaches of urinary incontinence are well studied in women, however studies on male urinary incontinence focus on incontinence following surgery of the bladder or prostate, predominantly incontinence after radical prostatectomy. Aging men suffer from incontinence; most frequently urge incontinence (Overactive bladder) nearly as often as women do. The domain of conservative therapy of urinary stress incontinence in men is pelvic floor training. It remains unclear whether biofeedback procedures, electrostimulation therapy or magnetic stimulation therapy can enhance pelvic floor training. There are data suggesting that an off-label therapy with Duloxetin®, a selective Serotonin-Noradrenalin-Reuptake-Inhibitor (SSNRI), improves urinary incontinence following radical prostatectomy. Antimuscarinics in combination with bladder training have been proven as safe and effective treatment in male patients with OAB. Data, however, suggest that men with OAB are far less frequently treated than women.