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[Urinary incontinence in the man--pathophysiology and diagnosis]
H John1, D M Schmid, H Danuser
1Urologische Klinik, Universitätsspital Zürich Urologische Universitätsklinik, Inselspital, Bern. john@uro.usz.ch
Abstract:
About 7-8% of men experience unvoluntary urinary leak. Incidence in patients older than 60 years is 2-3 fold increased. Urge incontinence is the mostly present, less frequent are overflow-incontinence/chronic retention and urinary stress incontinence. In men, prostate and bladder dysfunction as well as neurologic diseases are responsible for urinary incontinence. The baseline diagnostics include micturition protocols, the urologic clinical examination, residual urine determination and laboratory analyses of urine and blood. Extended diagnostics proceed to morphological and infectious etiologies and base on urodynamic evaluation.