Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
Tags: incontinence | male | prostate | englarged

How Can I Treat My Overactive Bladder?

Thursday, 16 Jan 2014 10:12 AM

Question: How is overactive bladder treated in men? Most medications have not helped me, but I have to get up to use the bathroom a lot during the night.

Dr. Hibberd's answer:

Incontinence and frequent urination is far more common in women than men, largely because their pelvic muscles weaken and stretch, especially after childbirth as they age. Anticholinergic drugs like Ditropan are used to control bladder control in women but rarely in men, since the causes are different between the sexes.

Male incontinence and frequent urination, particularly at night, are usually caused by prostate enlargement in men — known as BPH, prostate enlargement — or infection. Prostate enlargement is easily detected by a rectal examination and is often associated with an elevated PSA. It is important that you be examined to be sure no prostate infection is present, as antibiotics will be needed, sometimes for weeks at a time to clear infections of the prostate gland.

Delayed antibiotic use in prostatitis can turn an acute infection that is effectively managed by a short course of antibiotics into a chronic prostatitis that is far more difficult to resolve. The tip here is to seek professional guidance without delay. Men with prostate problems and frequent nighttime urination often respond well to alpha-adrenergic blockers and/or 5-alpha-reductaseinhibitors.

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Question: How is overactive bladder treated in men? Most medications have not helped me, but I have to get up to use the bathroom a lot during the night. Dr. Hibberd's answer: Incontinence and frequent urination is far more common in women than men, largely because their...
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2014-12-16
Thursday, 16 Jan 2014 10:12 AM
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