It’s not just women who can benefit from pelvic floor exercises. They are just as simple for men to do as well, and they can have a similar benefit in increasing bladder control and reducing incidents.
You can read more about incontinence exercises for men in our help and advice section. But in the meanwhile let TENA Men’s ambassador, Stirling Gravitas, show you how easy it can be.
Urinary incontinence affects millions of men in the UK, but rarely do men admit to experiencing the condition. TENA‘s new advertising campaign hopes to help break this taboo by tackling the problem with comedy. Meet Stirling Gravitas, self-styled gold medalist at life and the new face of TENA Men incontinence pads.
“I’m a man of a certain age. I’m in control of all aspects of my life,” says Stirling. Through Stirling’s hyper-masculine persona, the campaign aims to challenge the view that incontinence is solely a ‘women’s issue’.
Meta Redstedt, Global Brand Director at TENA Men, explains:
“Urinary issues among men are much more common than most people know and can have a negative impact on life. With the TENA Men campaign we want to make men aware how common this is and that there are products to deal with it, so men can keep control and their quality of life can go back to normal”.
Or as Stirling might say: “Urine leakage happens. Deal with it.”
The new TENA Men Level 4 Protective Underwear is now available from Allanda. The latest addition to the TENA Men range, the TENA Men Level 4 Protective Underwear is unique in this range by being a pant product rather than a pad. TENA Men Level 4 Protective Underwear is the first incontinence pant designed specifically for men. The cotton-like soft stretchy fabric is breathable and comfortable and looks and feels like you’re wearing normal underwear.
You can confidently enjoy active days out with reliable protection. TENA Men Level 4 Protective Underwear is as easy to pull on as it is to pull off. Just tear open the side seam of the TENA Men Protective Underwear on one or both sides and that is it, they are ready to dispose of. Only available in one size – Medium/Large (95 to 125cm Hips) and available in single packs and CASE SAVERS for extra savings.
We’ve now added Small and XXL sizes of our washable black Y fronts to our range of washable men’s incontinence pants, giving customers a much wider choice of sizes for this product, which was previously only available in white in smaller and larger sizes and in Medium, Large and Extra Large sizes in black. White is available in Extra Small, Small, Medium, Large, X Large and XX Large sizes plus additional bariatric sizes – 3XL, 4XL and 5XL.
Thanks to customer requests we’ve now added TENA Men Level 1 as a CASE SAVER to our range. This means we now offer the full TENA Men pad range as CASE SAVERS – Level 1, Level 2 and Level 3 absorbency levels.
The Case Saver for TENA Men contains 6 packs of 24 pads (144 pads all together) and offers a saving of 6% over buying packs individually, however the more cases you buy, the more you save! Buy 4 cases and you will pay only £36.99 per case, a massive 15% saving over individual packs and over 31% against the recommended price.
Robot-assisted radical prostatectomy appears to provide better functional results for incontinence and potency, according to the authors of a study from Turin, Italy.
First author Francesco Porpiglia, MD, of San Luigi Gonzaga Hospital-Orbassano (Turin), University of Turin, and colleagues studied 120 patients with organ-confined prostate cancer who were randomly assigned to one of two groups of 60 men based on surgical approach: robot-assisted radical prostatectomy or laparoscopic radical prostatectomy. All interventions were performed with the same technique by the same single surgeon.
Demographic, perioperative, and pathologic results were recorded and compared. Continence was evaluated at the time of catheter removal and 48 hours later, and continence and potency were evaluated after 1, 3, 6, and 12 months.
No differences were recorded in terms of perioperative and pathologic results, complication rate, or PSA measurements. The continence rate was higher in the robotic prostatectomy group at every time point: continence after 3 months was 80% in the robotic surgery group and 61.6% in the laparoscopic surgery group (p=.044), and after 1 year, the continence rates were 95.0% and 83.3%, respectively (p=.042), as reported online in European Urology (July 20, 2012).
Among patients who were potent preoperatively and treated with nerve-sparing techniques, the rate of erection recovery was 80% and 54.2%, respectively (p=.020).
Urinary incontinence is more common than reported. Regrettably, many people suffer in silence and restrict their daily activities. Yet incontinence is often easily managed and treated, indeed, experts have shown that nearly 80% of people with poor bladder control can be cured or improve.
Bladder control is a problem for women and men, and some young people. Experts estimate that four out of five incontinence patients are women — especially those who have had pregnancies or who are elderly.
Urine leakage is the symptom of a medical problem. Diabetes, strokes or Parkinson’s can damage nerves. A bladder infection or irritation (like a kidney stone) can scar the urethra (the tube that moves urine from the bladder). Childbirth can weaken muscles, stretch tendons, or damage nerves. Drugs like diuretics can increase bladder activity. It can be hard to get to a toilet if severe arthritis slows walking, or if medication makes a person confused or sleepy. Lower estrogen during menopause can weaken the vaginal canal.
There are several types of incontinence. Stress incontinence occurs when pressure on the bladder causes a loss of control and leakage. This often occurs when a person sneezes, laughs, falls, runs, exercises or lifts a heavy object. Urge incontinence is different; the bladder becomes overactive, perhaps from a spasm. The sudden urge to go makes a person rush to the toilet. Overflow incontinence can occur when the bladder will not empty and urine builds. Something might prevent the bladder from emptying, such as constipation, an enlarged prostate, or scar tissue.
Pelvic surgery and trauma can affect the nerves, muscles, and structure of the pelvic area.
For women, the trauma of childbirth and carrying a baby can reduce support of pelvic organs, affect the bladder, and injure nerves. After a pregnancy, weak muscles can also cause the bladder or uterus to drop out of place and bulge into the vaginal canal or press down on the rectum.
For men, especially older men, an enlarged prostate or prostate surgery can weaken muscles or cause nerve damage. The surgeon might widen a passage for urine or use techniques to shrink an enlarged prostate gland. Men can need surgery for prostate cancer. At times, surgery results in complications such as impotence or incontinence
There are many urological tests that can help specialists learn the specific problem or problems causing leakage. Urodynamics tests are helpful to see how efficiently a bladder fills and empties.
However, don’t assume that incontinence is a problem that you must just accept.
Don’t be embarrassed to get help. Specialists (urologists for men and women, or urogynecologists for women) can do tests to pinpoint medical problems. Finfing the right solution depends on identifying the real problem.
Don’t be afraid to be honest with your doctor or nurse, give a complete history so they have all the information to make a correct diagnosis. Don’t be surpised to be asked for a physical examination and to provide a urine sample.
Look for habits that you can change to manage leakage. Some people improve by avoiding caffeine, alcohol and certain drugs, and by limiting fluids at night before bedtime. A diet of fruits, vegetables and whole grains can reduce constipation. Drink enough fluids in the daytime to avoid urinary tract infections and constipation.
If you weigh too much, lose weight. A large belly puts pressure on the pelvic muscles. Excess weight can cause both stress and urge incontinence.
For urge incontinence, create a regular schedule to empty your bladder, starting at every two hours. Over time, you can increase the time between trips to the bathroom. This schedule can retrain your bladder to control urges.
Regardless of your age or sex, force yourself to do Pelvic Floor (Kegel) exercises. They can strengthen muscles to support the bladder and control leakage. Don’t just blame old age or being out of shape for your poor bladder control.
If you are a young woman, start doing Kegel exercises before getting pregnant. Strong pelvic muscles will serve you throughout your life and could make the effects of childbirth less difficult.
Marc Bourgeois, 48, says urinary incontinence was one of the most frustrating and embarrassing things he has dealt with in his life—but that doesn’t prevent him from talking about it with other men.
“If I can prompt just one man to seek help for his urinary incontinence, it was worth it because it is most often very treatable with the right doctor,” says Bourgeois. “I’ve been amazed by how many men I’ve encountered who have trouble with urinary continence since sharing my experience.”
In February 2012, Bourgeois began experiencing unusually high urinary frequency in the middle of the night. This progressed to complete loss of control over his bladder while he slept.
“I’d wake up soaked four to five times a night. I started wearing Incontinence Pants and avoiding water six hours before going to bed to try and prevent it. It caused me extreme anxiety,” he recalls. “It came on gradually and I was so caught up in the business of life that I wasn’t paying attention to the signs my body was sending.”
Those signs included a weak urine stream and overall reduced urine output. He was referred for additional testing to Ayman Mahdy MD, PhD a UC Health urologist, assistant professor at the UC College of Medicine and the director of voiding dysfunction and female urology. Mahdy is fellowship trained in urinary incontinence, voiding dysfunction and female urology. Mahdy prescribed a bladder scope test (cystoscopy) and a comprehensive video-urodynamics examination to fully assess Bourgeois’ bladder and kidney health to determine the best course of action.
Tests revealed the underlying source of Bourgeois’ incontinence: a blockage in his bladder, caused by an enlarged prostate. He was diagnosed with chronic urine retention with reflux. This chronic retention had caused resulted in “overflow” incontinence, which indicated further imaging and kidney function evaluation. Tests showed long-term pressure from the backup of urine had resulted in a distended bladder and stress on his kidneys that had severely compromised his left kidney health. During testing, Mahdy’s team removed a large quantity of retained urine from Bourgeois’ bladder.
“I had to self-catheterize until they cleared me for surgery. It was one of the hardest things I’ve ever done, but the Kristy (nurse) was so patient and coached me until I got it right,” recalls Bourgeois.
Back pressure is detrimental to the kidneys—it causes the organ to lose its ability to function normally. It was critical that we remove the bladder obstruction right away to reduce the pressure on Mr. Bourgeois’ kidney to preserve his remaining kidney function,” explains Mahdy.
Bourgeois underwent a transurethral resection of the prostate—known for short as a “TURP procedure”—to remove the blockage in May 2012 at UC Health West Chester Hospital, in the USA. By 10 a.m. the next day, Bourgeois had his catheter removed and was able to spontaneously and completely empty his bladder. He didn’t need the catheter anymore to eliminate urine from his bladder effectively. Within a week, he had completely regained control of his bladder.
“My prayers—and my mother’s—were answered when I found Dr. Mahdy. Because of him, I can have a normal life. I have reset my life in many ways, and I hope other men realize through my testimonial that they don’t have to suffer in silence from urinary incontinence.”