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To have urinary bothersome urinary leakage and so if you look there at 15 years even up to 15 percent of men have significant urinary incontinence that they need treatment here so what are our options well from mell incontinence that’s related to prostate cancer therapy medications don’t work we use those in other forms of incontinence but not for stress incontinence and men injectable bulking agents where we go in with a scope and we inject some bulking agent or some gel around the urethra doesn’t work either and we also know that there’s other types of treatments such as neuromodulation that don’t work what does control the urine well we all know about a urinary catheter but who really wants to live the rest of your life with an indwelling catheter you also have a condom catheter that’s more like an outside sheath that catches the urine that leaks from the as well those are options for some men you have compression of the urethra we have a cunning hand clamp as what we call it and it’s a device that squeezes down the urethra so that you won’t leak out the tip of the there’s also a male active cuff which acts like a clamp but then it catches the urine in almost like a receptacle to keep it from soiling your underwear what about physical training so you saw Phil Heath this mr. Olympian do do we have any evidence that if you do pelvic floor muscle training that this is going to improve your urinary control similar to lifting weights and the data would suggest that it helps you get early return of urinary control up to one year after your prostates remove .
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02.15.20 12:49 PM
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