Urinary Incontinence Specialist

Urology Specialty Care of Miami -  - Urologist

Urology Specialty Care of Miami

Urologists located in Miami, FL

Women are more likely to develop urinary incontinence than men, but it also occurs in 11% of men aged 45 to 64 and in 21-32% of those over the age of 65. Dr. Robert Puig and Dr. Daniel Martinez of Urology Specialty Care of Miami have years of experience working with men who struggle with urinary incontinence, developing a customized treatment plan that solves the problem. Don’t continue worrying about incontinence: Call the office in Miami, Florida or book an appointment online to begin treatment and stop urine leakage.

Urinary Incontinence Q & A

What Causes Male Urinary Incontinence?

Urinary incontinence, or loss of bladder control resulting in urine leakage, develops when your brain doesn’t signal the bladder to urinate, when the muscles that control urination don’t function properly, or both.

What are the Different Types of Urinary Incontinence in Men?

Men may develop several different types of urinary incontinence, including:

  • Urgency Incontinence: Urine leakage occurs when an urgent need to urinate suddenly develops and you can’t hold it long enough to get to a bathroom in time. This type of incontinence is a sign of overactive bladder, which occurs when abnormal nerve signals cause bladder muscles to contract. You may find that your urgency incontinence is triggered by drinking a small amount of water, touching water, hearing running water, or being in a cold environment.
  • Stress Incontinence: Stress incontinence develops when coughing, sneezing, laughing, or physical activity puts pressure on your bladder.
  • Overflow Incontinence: When your bladder doesn’t empty properly, residual urine causes overflow incontinence.

How is Urinary Incontinence Diagnosed?

Besides a thorough physical examination, Dr. Puig or Dr. Martinez evaluates how frequently you’re incontinent and the amount of urine leaked. You’ll also be screened for prostate problems, which may include a digital rectal exam.

You’ll undergo a urinalysis, urine culture, and blood tests. Some men may need diagnostic imaging such as ultrasound, or urodynamic testing, which includes several procedures that measure how well your bladder and urethra store and release urine.

How is Urinary Incontinence Treated?

Urinary incontinence is treated using various lifestyle changes, exercises, and medical approaches, depending on the underlying cause and severity of your incontinence.

  • Behavioral Treatments: This includes therapies such as limiting fluids at certain times of the day, bladder training exercises to strengthen muscles that control urination, and urgency control.
  • Medication: Dr. Puig or Dr. Martinez may prescribe medications that reduce bladder spasms, relax bladder muscles, or treat an enlarged prostate.
  • Electrical Nerve Stimulation: Stimulating specific nerves changes the bladder’s response, which helps prevent urinary incontinence.
  • Bulking Agents: Collagen injected near the urinary sphincters — the muscles that control the release of urine — helps close the bladder opening by thickening the tissue.
  • Surgery: Surgical interventions include implanting an artificial urinary sphincter and performing a urethral compression procedure, which adds support to the urethra. Dr. Puig and Dr. Martinez can perform both procedures using minimally invasive surgery.

To get help for urinary incontinence, call Urology Specialty Care of Miami or book an appointment online.