[Male urinary incontinence].

Abstract

While not uncommon, urinary incontinence is less common in men than in women incidence increases, reaching up to 32% at age 80. There are several mechanisms of UI, with urgency being the most common, accounting for 40 to 80% of cases.UI due to chronic retention secondary to benign prostatic hypertrophy is not the only cause, and symptoms of bladder hyperactivity with incontinence should be treated with caution. Incontinence due to sphincter insufficiency is mainly secondary to prostate surgery (hypertrophy or cancer).While the patient's request for treatment of this UI should be paramount, co-morbidities, the severity of symptoms, and the presence of nocturia must be investigated. Complementary tests include PSA, urinalysis, creatinine, and reno vesical-prostatic ultrasound.Treatment options are chosen according to the type of incontinence and the patient's preferences. If the patient wishes, a referral to a urologist is also recommended.