Male Urinary Incontinence: Causes and Concerns

Do men also experience urinary incontinence?

Recently, I have been experiencing leakage of urine after urination.
Although the amount is not significant, it causes my underwear to become soiled and feels quite unhygienic.
I would like to know if I should visit a hospital outpatient clinic for this issue.
Additionally, I have noticed that for the past six months, after each sexual encounter (which occurs about once a week), I experience a pulling pain at the base of the penis.
The discomfort is not unbearable, but it is bothersome.
I would like to know if this is related to the urinary leakage or if it might be a prostate issue.
Thank you for your guidance.

james, 30~39 year old female. Ask Date: 2004/06/10

Dr. Lin Hexing reply Urology

Hello James, based on your description of experiencing leakage after urination, it seems that the issue may be due to not fully emptying the bladder quickly.
The reasons for this could include: 1.
If the bladder volume is insufficient during urination, the bladder's contraction strength may be inadequate, leading to a slower urinary flow rate.
This can result in a slower final stream, making it difficult to fully empty the bladder.
If you are impatient and quickly put on your pants, this could lead to wetting your underwear.
2.
If an individual has a wider bulbar urethra, this situation may occur earlier.
It is recommended that you drink more water to ensure adequate bladder volume, which should help improve the situation.
Regarding the sensation of pain at the base of the penis after sexual activity, this is a personal physiological response.
During ejaculation, the prostate gland swells, and the muscles at the base of the penile corpora contract to facilitate ejaculation.
If the muscle contractions are too intense, it may result in the sensation of pain at the base of the penis, which is also part of the sexual pleasure experience.
The perception of this sensation can vary from person to person, and if it is tolerable, it should not be a concern.

Reply Date: 2004/06/10

More Info

Understanding male urinary incontinence and associated symptoms can be complex, as various factors may contribute to these issues. Based on your description, it seems you are experiencing post-void dribbling, which is the involuntary leakage of urine after you believe you have finished urinating. This can be frustrating and may lead to hygiene concerns, as you mentioned.
Post-void dribbling can occur due to several reasons, including:
1. Weak Pelvic Floor Muscles: The pelvic floor muscles support the bladder and help control urination. If these muscles are weak, they may not adequately prevent leakage after urination.

2. Prostate Issues: Conditions such as benign prostatic hyperplasia (BPH) or prostatitis can affect urinary control. The prostate gland surrounds the urethra, and any swelling or inflammation can lead to urinary symptoms, including incontinence.

3. Neurological Conditions: Nerve damage or neurological disorders can disrupt the signals between the bladder and the brain, leading to incontinence.

4. Urinary Tract Infections (UTIs): Infections can irritate the bladder and urethra, causing urgency and leakage.

5. Medications: Certain medications can affect bladder control and lead to incontinence.

Regarding the discomfort you experience at the base of the penis after sexual activity, this could be related to several factors, including:
1. Prostatitis: Inflammation of the prostate can cause pain during or after ejaculation. This condition can also be associated with urinary symptoms.

2. Pelvic Floor Dysfunction: Tension or dysfunction in the pelvic floor muscles can lead to discomfort during sexual activity.

3. Infection or Inflammation: Conditions affecting the urethra or surrounding structures can lead to pain during or after sexual activity.

4. Psychological Factors: Anxiety or stress related to sexual performance or urinary issues can also manifest as physical discomfort.

To address your concerns, it is advisable to consult a healthcare professional, particularly a urologist. They can perform a thorough evaluation, which may include:
- Physical Examination: Assessing the pelvic area and prostate.

- Urinalysis: Checking for signs of infection or other abnormalities.

- Urodynamic Studies: Evaluating bladder function and the mechanics of urination.

- Imaging Studies: Such as an ultrasound to visualize the bladder and prostate.

In terms of treatment, options may vary based on the underlying cause of your symptoms. For pelvic floor muscle weakness, pelvic floor exercises (Kegel exercises) may be beneficial. If prostate issues are identified, medications or other treatments may be recommended.
In conclusion, while your symptoms of post-void dribbling and discomfort after sexual activity may be interconnected, they could also stem from separate underlying conditions. Seeking medical advice is essential to determine the cause and appropriate treatment for your symptoms. Addressing these issues not only improves your quality of life but also alleviates concerns regarding hygiene and comfort.

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