The urologist Yvonne Dehner

Prostatitis and urinary incontinence

Diagnosis: Urinary incontinence

Urinary incontinence and prostatitis have their causes in the pelvic floor - this applies to both men and women. Women who have had several births can increasingly suffer from so-called stress incontinence from the age of 40 to 50. In this case, anatomical changes and increasing weakness of the connective tissue can disrupt the closure apparatus of the bladder, so that incontinence can occur when sneezing, coughing, lifting heavy objects or doing sports. Urine loss ranges from a few drops per day to complete loss of urine and the inability of the bladder to store urine.

Men can also be affected by stress incontinence. It is often triggered by operations such as prostate removal (radical prostatectomy) for a prostate tumour or transurethral prostate resection for benign enlargement. Injuries to the sphincter apparatus and changes in the anatomy of the male pelvis can lead to a loss of continence following these operations.

Diagnosis: Chronic prostatitis

Chronic prostatitis is a widespread disease that mainly affects men between the ages of 30 and 50. In the narrower sense, "prostatitis" is the inflammation of the prostate gland (prostatitis). In medicine, a broader term has become established, according to which "prostatitis" is a collective term for various complaints in the urogenital system as well as in the area of the pelvic floor and anus.

In many cases, the symptoms cannot be causally explained by an inflammation of the prostate and can be differentiated. With a normal-sized prostate or slightly enlarged prostate, men may experience pain before, during or after urination. Often there is a kind of foreign body sensation or poorly characterisable pain in the pelvic area.

In our clinic, we have been using the gentle and low-complication pelvic floor therapy device NeoControl for years. It works according to the so-called ExMI method and was developed in the USA.

More details about NeoControl

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