Male Stress Incontinence

What is SUI?

Male stress incontinence is a condition characterized by the involuntary leakage of urine due to pressure or stress exerted on the bladder. It occurs when the muscles and tissues that control urine flow, particularly the sphincter and pelvic floor muscles, are weakened or damaged. This condition is most commonly associated with prostate surgery, particularly after a prostatectomy (removal of the prostate) for cancer treatment. Other contributing factors include obesity, chronic coughing, neurological disorders, and aging, which can lead to muscle deterioration and reduced bladder control.

Symptoms:

The primary symptom of male stress incontinence is the leakage of urine during physical activities that put pressure on the bladder. Common triggers include coughing, sneezing, laughing, lifting heavy objects, or even standing up from a seated position. The severity of leakage varies among individuals; some may experience only a few drops of urine, while others might have more significant loss, particularly after strenuous activities. The condition is different from urge incontinence, which is characterized by a sudden, strong need to urinate.

Another symptom that men may experience is the constant need to wear absorbent pads or protective undergarments due to unpredictable urine leakage. This can lead to discomfort and embarrassment, affecting daily life and self-confidence. Many men with stress incontinence may avoid social interactions or physical activities out of fear of accidental leakage, which can contribute to anxiety and emotional distress.

In addition to physical symptoms, male stress incontinence can impact mental and emotional well-being. The loss of bladder control can lead to frustration, social withdrawal, and a decrease in overall quality of life. Some men may also experience sleep disturbances if leakage occurs at night, further affecting their physical and emotional health. This emotional burden often leads individuals to seek medical help for effective treatment options.

What is Bulkamid?

Bulkamid is a type of bulking agent used in the treatment of urinary incontinence, including stress urinary incontinence (SUI). It is a hydrogel composed of 97.5% water and 2.5% polyacrylamide, designed to be biocompatible, non-degradable, and long-lasting.

Bulkamid is injected into the urethral walls to provide additional bulk and support, helping to improve closure of the urethra and prevent urine leakage. It acts as a cushion that enhances the ability of the urethral sphincter to retain urine when pressure is applied, such as during coughing, sneezing, or physical activity.

Uses and Benefits:
–  It is a minimally invasive, outpatient procedure, meaning it does not require major surgery or long recovery times.

• The hydrogel remains stable in the body, reducing the need for repeat treatments compared to other bulking agents that degrade over time.
• It provides an alternative treatment for patients who are not candidates for surgery or prefer a less invasive approach

Procedure and Recovery:

The Bulkamid injection procedure is relatively quick, often completed in less than 15 minutes under local anesthesia. A small needle is used to inject the hydrogel into the urethral walls. Most patients can return to normal activities within a day or two, with minimal discomfort.

Studies have shown that Bulkamid is effective in reducing or eliminating urine leakage in many patients. However, like any treatment, its success varies based on the severity of incontinence and individual response. Some patients may require repeat injections for optimal results.

At the bottom of the page in smaller font: The Center for Urologic Care of Berks County expressly disclaims all guarantees of any successful results or outcomes in each patient’s case. All patient conditions are unique and may or may not respond to this treatment.