"Male Bladder Problems"
Men Living With Incontinence


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Male Bladder Problems: Practicing Good Bladder Health Just Makes Good Sense









The male bladder sits just above the prostate gland in front of the rectum on the pelvic floor. It is part of the male urinary system and plays a key role in the storage of urine. Urine is produced in the kidneys; the kidneys cleanse the blood of waste, excess water and other impurities and turn it into urine. The urine is sent to the bladder for storage via two ureter tubes that connects each kidney to the bladder.

The bladder will act as a holding tank for the urine; once the bladder is full it will signal the brain through a nerve that it is at capacity; the brain in return will send a nerve signal back to the bladder--the detrusor muscle in particular to empty itself of all content or urine. The detrusor muscle will squeeze spastically to remove all of its content, and the urine will flow from the bladder through the urethra that extends through the male sexual organ and out the body. This is ordinarily a smooth operation that works efficiently and effectively throughout a man’s lifetime.

However, the male urinary system is always under the threat of bacterial attacks that seek to gain entrance through the lower urinary tract (LUT) or any other way it can. Urinary tract infections can wreck havoc on the male urinary system. Bacteria can form colonies that when left unchecked can literally destroy the urinary system and ultimately could prove fatal. Bacterium like Escherichia coli or e coli is responsible for over 80% of all bacterial infections found in the male urinary tract. In most cases Escherichia coli or e coli can be treated with antibiotics if caught in time; however, if the bacterium is left untreated for a substantial amount of time it could do irreversible damage to individual organs as well as the entire urinary system. Timely treatments play a very important role in eliminating Escherichia coli or e coli before it does wide spread damage.

The kidneys along with the ureter tubes make up the upper tract of the male urinary system. It is quite common for bacteria infections to gain entrance through the urethra and attack the prostate as well as the urethra and travel up to the bladder. The bladder is also capable of becoming infected by the urine that is sent down by the kidneys through the ureter tubes. The waste that the kidneys turn into urine is often contaminated with bacteria; this bacteria in turn is sent to the bladder via the ureter tubes. The bladder can become a holding station for not only urine but bacteria as well.

 The prostate can become infected by STDs or sexually transmitted diseases as well as e coli; when that happens the prostate can become enlarged and/or inflamed (prostatitis); preventing the urine from exiting the body via the urethra. The urethra runs from the bladder through the prostate gland and through the male sexual organ; it is the passage way that the urine travels as it exit the body. But when it is blocked for one reason or another the urine cannot exit the bladder and must remain there until it can. Stagnant urine is an ideal breeding place for bacteria; hence, the bladder becomes infected due to prostatitis or an inflamed prostate that has blocked the passage of urine through the urethra.

When the bladder becomes infected it does not operate smoothly (overactive bladder); it can become dysfunctional in a number of ways. Unable to rid itself of urine properly; urine begins to leak out of the bladder. This is a type of urinary incontinence in males is known as “overflow” incontinence; the leakage can be light or extremely heavy resulting in embarrassment and humiliation when it occurs in public or social gatherings. A urinary tract infection in the bladder can cause the detrusor muscle (located inside the walls of the bladder) to begin squeezing violently in an attempt to rid the bladder of its content, this type of activity can result in heavy leakage when the bladder is unable to flush itself or send the urine out in its normal way.

When the urethra is unblocked and the bladder is infected it can create a type of incontinence called “urge” incontinence or “urgency” incontinence. This occurs when the bladder’s destrusor muscle begin squeezing without receiving a nerve signal from the brain to relieve itself. When the bladder is infected it is not uncommon for the detrusor muscle to behave erratically and force the individual to rush to the bathroom to relieve himself without any warning…and in most cases he will never make it. This type of incontinence is rare in women but very common in men who experience urinary incontinence.

When the bladder becomes infected it is referred to as cystitis or inflammation of the bladder. Cystitis can usually be treated with antibiotics as well as behavior modifications when it is treated in a timely manner; however, it is possible for bladder infections left untreated for long periods of time to turn into something much worse---bladder cancer.

In closing, remember a bladder problem for the most part can be successfully treated and often cured if it is caught before widespread and irreversible damaged is done. That’s why it is so important to contact your primary care giver and/or urologist before the problem turns into something that is far worse and potentially lethal.









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