Can elderly people with prostate enlargement experience urinary incontinence?

Written by Zhou Yan

Geriatrics

Updated on January 07, 2025

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In the advanced stages of lower urinary tract obstructive diseases caused by prostate enlargement, overflow urinary incontinence can occur. After chronic urinary retention caused by prostate enlargement, if the bladder is extremely full, the pressure inside the bladder can exceed the resistance of the normal urethral sphincter, allowing urine to overflow through the urethra. Additionally, pressure incontinence can also be caused by damage to the external urethral sphincter or to the perineal and urethral areas following prostate surgery due to prostate enlargement.

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Written by Chen Tian Jing

Colorectal Surgery

45sec

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What department should I go to for fecal incontinence?

If there is fecal incontinence, it is first necessary to determine the cause. If the incontinence is due to general neurological symptoms and neuropathy, then it is necessary to register for a neurology department consultation. If it is due to relaxation of the local anal sphincter, then registration with the proctology department is needed. Generally, for local sphincter relaxation causing fecal incontinence, an anal sphincter tightening procedure can be opted for, to provide local symptom relief. Additionally, it is important to also consider coordinating with traditional Chinese medicine enemas, which can enhance the mucosa within the rectum.

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Written by Zhou Yan

Geriatrics

1min 2sec

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What causes urinary incontinence in the elderly?

Urinary incontinence in the elderly varies due to different mechanisms and types, with the two most common categories being genuine urinary incontinence, which is due to neurogenic bladder dysfunction or overactive detrusor muscles, damage to the urethral sphincter, or loss of bladder storage function. These are commonly seen in conditions like chronic stroke, dementia, Parkinson's disease, and psychiatric diseases. The other major category is caused by relaxation of the urethral sphincter or pelvic floor muscles surrounding the urethra, leading to reduced urethral pressure. Incontinence in this category may occur when negative pressure increases, such as during coughing, sneezing, straining during bowel movements, or changing body position. This type of urinary incontinence is more common in elderly women and in elderly men who have had prostate removal, leading to damage to the external urethral sphincter.

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Written by Chen Tian Jing

Colorectal Surgery

49sec

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Can fecal incontinence be cancer?

The most common causes of fecal incontinence are neurological dysfunction or relaxation of the local anal sphincter. In some cases of advanced rectal cancer, excessive tumor growth can enlarge the local intestinal contents, leading to involuntary expulsion of feces. Diagnosis involves further examination using electronic colonoscopy, digital anal examination, and assessment of neurological function. If the cause is related to a neurological disorder, treatment by a neurologist is required. If the cause is relaxation of the anal sphincter, then anal sphincter tightening surgery may be considered. In cases where fecal incontinence is caused by an intestinal tumor, surgery to remove the tumor is recommended, along with radiation or chemotherapy.

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Written by Zeng Zhong

Urology

42sec

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What are the clinical manifestations of urinary incontinence?

The clinical manifestation of urinary incontinence is primarily the involuntary leakage of urine, where the patient lacks the ability to control urination. Diagnosis mainly involves reviewing the patient's medical history and a physical examination, which in most cases is sufficient to understand the type and cause of the incontinence. A urodynamic test is crucial for a definitive diagnosis. The contents of the urodynamic examination include the assessment of bladder and urethral function. If a patient exhibits the aforementioned symptoms, they should visit the urology department of a hospital for formal evaluation and treatment.

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Written by Liu Hong Mei

Neurology

50sec

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What should I do if I feel dizzy, nauseous, want to vomit, and have urinary incontinence?

Dizziness, nausea, vomiting, and urinary incontinence may be related to neurasthenia, autonomic dysfunction, smoking, alcohol abuse, staying up late, excessive tension, excessive fatigue, urinary system inflammation, urinary tract infections, and stones. It is important to pay attention to rest, ensure adequate sleep, eat a light diet, eat less greasy food, eat less spicy and stimulating food, quit smoking and drinking, prevent colds and infections, maintain a good mood and attitude, avoid emotional excitement and excessive stress, avoid strenuous activities, and regularly monitor blood pressure, blood lipids, and blood sugar.