Treatment Of Stress Urinary Incontinence (SUI)

Products that absorb urine.

These include diapers and pads.  Although they are very helpful, many men are dissatisfied with the smell and inconvenience.

Medications.

Currently there are no approved medications for male SUI

Behavioral changes.

Many men discover that there are strategies they come up with on their own to minimize leakage.  These include purposeful dehydration, keeping the bladder relatively empty by urinating frequently, and avoiding foods and other products that cause bladder stimulation.  A short and incomplete list of these include:

  • Tobacco
  • Alcohol
  • Caffeine (coffee, tea, soda pop, chocolate)
  • Spicy foods (jalapeno and other peppers)
  • Citric acid foods (grapefruit, etc)
  • Tomato-based foods (pasta sauce, etc)

External devices.  These include clamps [pic of Cunningham clamp] that “squeeze” the penis and avoid leakage and condom catheters [pic].  In the latter, the patient uses a device similar to a condom that goes over the penis and the patient urinates into it, then it drains to a bag.   Although these devices are fairly easy to use and may be satisfying for some men, they have certain risks and most men find them very awkward to use.

Internal catheters.  These are catheters that go inside the bladder [pic of catheter].  They work very well but have a very high rate of infection and many men find them uncomfortable.

Bulking products.  These are various materials (collagen, carbon beads, coaptite) that are injected into the urethra to push the tissue together and so cause some “obstruction” that may help the incontinence.  Although they are generally safe, they rarely cure the problem and usually have to be repeated periodically to maintain continence.

Surgery.  Surgery for SUI mainly falls into two categories: slings and sphincter