Nearly one out of every five men over the age of 60 is having to deal with male urinary incontinence. That's a lot of people. But as common as male incontinence is, odds are good that you've never met a single guy who fessed up to having it. It's not exactly a topic men are anxious to discuss in the locker room or over drinks after work.
"For many men," says Tomas L. Griebling, MD, "incontinence is so embarrassing they won't discuss it with anybody." Griebling is vice chair of the department of urology at the University of Kansas in Kansas City.
"Help me ... help you. Help me, help you."
That famous line from the film Jerry Maguire may be the best advice a doctor could give his or her patient.
"Some patients have the attitude, 'I'm putting myself in the hands of a professional,'" says Stephen Permut, MD, chairman of family and community medicine at Temple University School of Medicine in Philadelphia. "They want you to make all their decisions for them."
Permut prefers to have patients get involved in their own care and engage the doctor...
But why is it so embarrassing? It's because there's more to male incontinence than just the symptom. It's a condition that can affect how you see yourself. "Adult diapers" used to be a punch line or a gag gift; now it refers to the product in a drugstore isle that you're trying to choose. Urinary incontinence can make a self-assured guy feel like a humiliated, bed-wetting kid. It can make a healthy, active adult suddenly feel like an invalid. Male incontinence can have a corrosive effect on your state of mind.
But life doesn't have to be so bleak. If you're dealing with male incontinence -- with leaking and the constant worry about leaking -- here's some very good news. You can get help.
"The bottom line is that incontinence isn't something you have to live with," says Edward James Wright, MD, assistant professor of urology at Johns Hopkins Medical School in Baltimore. "It isn't a normal consequence of life. It's a problem, but a fixable problem." If your symptoms are stressing you out and taking a toll on your life, here's what you need to know:
The Impact of Male Incontinence
A lot of different things can cause male incontinence. It's often a side effect after surgery for prostate cancer or, less often, an enlarged prostate (BPH). It can be a symptom or a result of many different health conditions, for example diabetes, strokes, or MS. Sometimes it can develop for less clear reasons, such as an "overactive bladder."