Urinary Incontinence in Male & Child

URINARY INCONTINENCE

IN THE MALE

Urinary incontinence in men occurs, in most cases, as a consequence of surgery on the prostate, urethra or bladder, says urologist in Palam.

The therapeutic options are multiple. The most common procedure performed by urologist in Janakpuri are the following:

• Rehabilitation of the perineal and pelvic muscles: Sometimes it is enough to resort to a good rehabilitation of the perineal and pelvic muscles to solve this problem. This is possible when the patient has residual muscle in the sphincter. On other occasions, rehabilitation should be used as a treatment associated with any of the surgical techniques described below. The results obtained with this type of treatment in our unit have been very satisfactory. The experience accumulated in this sense is broad and conclusive, being a reference centre for other urologist in West Delhi, who refer us to patients with this problem. In our unit, we recommend starting rehabilitation 4-6 weeks after having undergone radical prostate or bladder surgery.
• Injection of bulking substances: It is a very simple and effective technique in about 50% of cases. When we associate the injection of bulking substances with Rehabilitation, the percentage of improvements and cures exceeds 75%.
• Mesh placement: In males, meshes can also be used to correct certain forms of UI. The technique is not very complex and the results achieved can reach 70% cure / improvement says urologist in Dwarka.
• Incontinence prosthesis placement: The results obtained with its implantation are very satisfactory.

IN THE CHILD

The causes of urinary incontinence in children can be very numerous. However, it is usually a problem of uncontrolled urination.

Children usually acquire daytime urinary continence around 2-3 years and nocturnal continence around 3-5 years. These ages are indicative and will depend, to a great extent, on the global maturity of each one.

Therefore, if a child is not able to contain urine during the day after 3 years or during the night after 5, he should consult with the specialist. Currently, most of the urologist in West Delhi think that it is better to value and treat these children from that age than to wait for their spontaneous evolution until they are older.

We, as a team of urologist in Hari Nagar, speak of enuresis when the child presents involuntary urine losses at an age when he should have already acquired control of urination. There are many different types of enuresis:

• Primary or secondary: depending on whether the child has had control over the pee on occasion or not
• Diurnal, nocturnal or mixed, depending on the time in which the enuresis occurs
• Monosymptomatic or complex
• Etc.

The most common form of presentation is usually monosymptomatic nocturnal enuresis. This clinical picture can appear as a consequence of multiple factors, such as:

• Neurological factors
• Psychic factors, critical emotional situations, etc.
• Sleep problems
• Hereditary factors
• Etc.

Although this problem usually resolves spontaneously with the passage of time, it is not advisable to ignore it for two fundamental reasons: firstly, because it can be a more serious problem that starts manifesting in this way; and, secondly, because of the possible psychological effects that this situation could cause the child.

The therapeutic options are numerous. It is usually convenient and necessary to associate several of them to achieve satisfactory results. The available treatments at the hospital of urologist in Uttam Nagar are:

• Behavioural measures: reduce the fluid intake before going to bed, urinate before going to bed, lift the child to urinate at night, motivate the child, not ridicule, etc.
• Medical treatments
• Use of alarms
• Rehabilitation and voiding re-education.