Urinary incontinence in Aging Men: Most Common Causes & Best Treatments

Video Description

Sign up for Better Health While Aging’s newsletter to receive practical health advice from board-certified geriatrician Leslie Kernisan, MD MPH: https://betterhealthwhileaging.net/for-older-adults/ Urinary incontinence (bladder leaks) and other urinary symptoms are very common in older men, but they’re not “just aging,” and there are effective ways to improve them. In this episode, geriatrician Leslie Kernisan, MD MPH, explains how male bladder and pelvic anatomy, the prostate, and nerve function all affect urination in later life — and what to do if you’re having bothersome urinary symptoms or leaks. You’ll learn what doctors mean by LUTS (lower urinary tract symptoms), how an enlarged prostate (BPH) contributes to urinary problems, and the 5 main types of incontinence that affect men: urgency, stress, mixed, overflow, and functional. Dr. Kernisan walks through what a good medical evaluation should include (not just “it’s your prostate”), which tests may help, and when symptoms should be treated as urgent rather than routine. We also cover practical first steps (constipation care, timed voiding, double voiding, pelvic floor strategies) and safer use of medications for BPH and overactive bladder, including when to be cautious with anticholinergic drugs that affect thinking and bladder function. Special geriatric considerations for very old, frail men or those living with memory changes are discussed, including how families can help without assuming incontinence is inevitable. Whether you’re an older man noticing urinary changes, or supporting an older loved one, this clear, step-by-step roadmap will help you talk with your clinician about the right evaluation and safer options, so you can worry less about the bathroom and more about daily life. Further Resources can be found here: https://betterhealthwhileaging.net/podcast/urinary-incontinence-in-aging-men-causes-and-treatments/ Topics Covered Male bladder & pelvic anatomy: how normal urination works The role of the prostate, BPH (benign prostatic hyperplasia) & bladder outlet obstruction What doctors mean by LUTS (lower urinary tract symptoms) in older men 5 types of urinary incontinence in men (urgency, stress, mixed, overflow, functional) Medications that can worsen LUTS or retention (anticholinergics, decongestants, diuretics) #UrinaryIncontinence #LUTS #ProstateHealth #BPH #OveractiveBladder #MenOver60 #HealthyAging #BetterHealthWhileAging #Geriatrics #SeniorHealth #bladderhealth CHAPTERS: 00:00 Urinary Incontinence in Aging Men 02:51 Male Bladder, Pelvic Anatomy & the Prostate 06:49 What Is LUTS (Lower Urinary Tract Symptoms)? 10:12 Why Incontinence Needs a Medical Evaluation 12:22 5 Types of Urinary Incontinence in Men 15:06 Key Parts of a Good Incontinence Workup 16:32 Medications That Worsen LUTS or Retention 21:57 Red Flags Indicating Urgent Evaluation 23:50 Treating LUTS & Incontinence 26:08 Treating Benign Prostatic Hyperplasia (BPH) 28:42 Medications for Overactive Bladder: Pros & Cons 31:34 Next-Level Procedures and Treatment Options 32:14 Special Geriatric Considerations in Frail Older Men 36:47 What to Do If You’re Concerned UTIs in Older Adults: Symptoms & Prevention https://youtu.be/0sC4L1ALRGs How to Treat Urinary Incontinence in Older Women https://youtu.be/3VlC5wjDYrQ Constipation After 60: Causes, Relief & Safe Treatments http://youtube.com/watch?v=w_Ol4q_ze6M Improve Memory by AVOIDING These Drugs ⛔ https://youtu.be/16n80OQCVSM Is Your Blood Pressure Too Low? Understanding Hypotension https://youtu.be/8_depH-gT4o Diabetes in Aging: Signs, Symptoms & What to Do https://youtu.be/EAKd7o9MBlc Dehydration in Older Adults: Symptoms, Treatment & Prevention https://youtu.be/OCWvaUcSPOU Vitamin B12 Deficiency in Aging: Causes, Symptoms and Treatment https://youtu.be/Ev-i_E_MlTo Protein, Metabolism & Aging: Nutrition Tips for Longevity https://youtu.be/BzpaQ0F49JE The material on the Better Health While Aging YouTube channel, including any exchanges in the comments section, is for informational and educational purposes only. Any comments Dr. Kernisan may make regarding an individual’s story or comments should not be construed as establishing a physician-patient relationship between Dr. Kernisan and a caregiver, or care recipient. None of Dr. Kernisan’s website, social media, comments, or group information should be considered a substitute for individualized medical assessment, diagnosis, or treatment. Please see the full disclaimer for more information: https://betterhealthwhileaging.net/disclaimer/