Male Bladder Control

Male Bladder Control Center of Excellence

Bladder Control Problems (Incontinence) in Men

When was the last time you had a good night’s sleep? If you are like most men, that may be a hard thing to remember. Changes in bladder function can make your activities revolve around your bathroom schedule. From interrupting movies or activities with friends, to limiting car rides, bladder control problems can take control your life. The changes that men experience include:

  • More frequent urination
  • Sudden urges to urinate
  • Numerous trips to the bathroom just to empty the bladder
  • Nighttime urination
  • Incontinence (partial or complete loss of bladder control that can be so embarrassing that it makes some men avoid activities and social activities).

It doesn’t have to be that way! From new medications to in-office biofeedback bladder exercises to new simple office based or outpatient procedures, help may only be a few office visits away.

What are the Different Types of Incontinence in Men?

The four types of incontinence are:

Stress Urinary Incontinence (SUI) – This occurs when urine leaks while you lift objects, cough, sneeze or exercise. Dr. Pugach states that SUI is a type of incontinence that is most often seen after prostate surgery, strokes, obesity of lack of exercise.

Urge Incontinence – As the name states, urge incontinence is experiencing an overwhelming need (urge) to urinate that cannot be stopped. We see it often in our Men’s Bladder Control Center of Excellence. Common causes include benign prostate enlargement, bladder stones and bladder infections.

Overflow Incontinence – When your bladder doesn’t empty completely, urine “overflows.” Small amounts leak out frequently, causing embarrassing situations all day and all night long. It’s usually due to prostate enlargement or a weak bladder muscle.

Total Urinary Incontinence – We see this most commonly when the sphincter muscle that is supposed to keep urine in your bladder doesn’t work properly. Causes include prostate surgery of many types, strokes and other difficult to treat causes.

What are some of the Reasons for Men’s Bladder Control Problems?

There are many reasons for bladder control problems. That’s why you should seek out expert urological care. We can provide that for you at the Men’s Bladder Control Center of Excellence. Some of the more common reasons include:

  • Bladder infections
  • Nerve damage from back injuries
  • Excessive liquid intake
  • Food allergies
  • Prostate problems (benign or cancerous)
  • Side effects of medications you take for other medical conditions
  • Side effects of surgical procedures (such as prostate surgery*)
  • Neurologic (nerve) conditions
  • Bladder stones

An office visit with Dr. Robert Pugach, Pacific Coast Urology’s Medical Director, is usually all that is needed to have a good urologic evaluation to put you on the road to better bladder control!

At Pacific Coast Urology’s Men’s Bladder Control Center of Excellence, new, minimally invasive procedures are available. It’s what we specialize in!


“By the third week of PFR, I was in no need of a pad at all. When I reached my fourth week of PFR, I realized that I could cough, laugh, sit/stand and move freely with no more concerns of incontinence. Thank you Dr. Pugach and your amazing team who helped give me back my freedom and my dignity.” Read Marc’s full testimonial

Here are a few examples:

Biofeedback – Computer-assisted bladder training exercises that we administer painlessly in the comfort of our offices.

Pelvic Floor Rehabilitation (PFR) – is designed to strengthen the pelvic floor muscles with a targeted in-office therapy and a home exercise regimen. The therapy is customized to each patient’s needs and is done in a step-by-step process. Pelvic Floor Rehabilitation Therapy patients are seen weekly for the first four weeks of the program and then every 2 weeks after that. The end result is the strengthening of your pelvic muscles and re-educating them so you can have better control of your bladder. PFR is not just for women!
Read Marc’s testimonial.

Prostate Reduction – We specialize in remarkable, minimally invasive in-office procedures that can shrink an enlarged prostate. They are two to three times as effective as medication and can avoid the side effects and complications of surgery.

Medications – in many cases, there are medications that can restore bladder control. We stay on top of the newest ones to give you the best options.
Interstim® – A tiny battery that is placed under your skin to send a signal to stop sudden or frequent urges to urinate.
Urethral Injections- Injectable implants of a bulking agent into the urethra to help control urine leakage.

BOTOX® – Another injectable medication that can significantly reduce urine leakage.
Whether your problem is frequent urination, dripping after you urinate, nighttime urinating or uncontrollable urges, your path to better bladder control starts with a visit to our Men’s Bladder Control Center of Excellence.

Take control of your bladder control problem. Get back to the activities you love! Contact Pacific Coast Urology Medical Center at 888.735.4336 today or email us via our Contact Us Form!