Bedwetting in adults: why it occurs and how to deal with the problem. We treat urinary incontinence in women in simple ways Bedwetting in adult women treatment

Enuresis is urinary incontinence. During the day, the symptom in men is much less common than at night. Bedwetting is characterized by involuntary urination during sleep. Men of all ages suffer from this disease. Enuresis can be a signal of the presence of a serious pathology (multiple sclerosis or prostate cancer), so it is important to see a doctor. Treatment is possible with the help of medicines and folk remedies.

Causes of enuresis in men

There are a number of reasonsenuresis in adultsmen:

Treatment

The method of treatment is selected individually - depending on the cause and severity of the disease. Therapy starts with simple methods. If there is no effect, drug treatment is prescribed.

Many men manage to cope with incontinence after giving up bad habits, maintaining a sleep schedule, and doing physical exercises.

Schedule

To avoid problems at night, it is recommended to adhere to the following rules:

• Reduce the amount of fluid you drink in the afternoon. 4 hours before bedtime, completely eliminate its intake. In this case, the daily rate of water must be drunk in the afternoon.
• Exclude products with a diuretic effect - watermelon, beer, coffee, tea, fruit drink with cranberries, a decoction of birch buds.
• Choose a mattress with increased firmness. This helps to maintain the spinal column in an anatomically correct position. Also, nerve fibers will not be compressed, which improves the signal from the bladder to the brain.
• Place a pillow under your feet while you sleep. This reduces pressure on the bladder sphincter.
• If these methods are ineffective, you can set an alarm 2-3 hours after falling asleep. At the same time, the time must be changed 2-3 times a week so as not to accustom the body to waking up at night.
• Completely give up alcohol.
• Avoid stressful situations.

Physiotherapy

During the emptying of the bladder, you should try to stop the jet. Alternate tension and relaxation of the muscles helps to strengthen them.

The basic basis of all exercises is 3 techniques:

1. 1. compression technique. It consists in the consistent contraction and relaxation of the muscles that regulate the flow of urine. The interval between compressions at the beginning should be 3 seconds, gradually this figure is adjusted to 20 seconds. During this technique, you need to strain the muscles as much as possible, then gently relax. The relaxation process takes the same amount of time as the contraction.
2. 2. Muscle contraction technique. This is a rhythmic and rapid muscle contraction, while it is important to observe the rhythm. At the beginning of classes, the rate of change in tension and relaxation will be small, gradually the pace increases.
3. 3. Techniqueejection. It activates the muscles that are responsible for attempts to urinate. In this case, the muscles need to be strained as if pushing out occurs. Feelings are similar to the process of defecation.

Kegel gymnastics

The Kegel complex works out the muscles of the small pelvis. Thanks to this, patients can control the process of urination. However, the effect is possible only if the execution technique is observed. If the exercises are done with a violation, then there will be no positive dynamics. The number of repetitions should not exceed 30 times.

A set of exercises:

1. 1. Standing, feet shoulder-width apart, knees not bent. Hands on buttocks. The pelvis performs circular movements in the upward-inward direction. During the exercise, strain the muscles of the pelvic floor as much as possible.
2. 2. Standing on all fours. The back is relaxed, the head is lowered on crossed arms. Perform movements with the pelvis down.
3. 3. Lying on your stomach, bend one leg at the knee. In this position, perform 3 techniques - compression, contraction, pushing. After that, change the leg and repeat the complex.
4. 4. Lying on your back, leg bent at the knees. One of the hands is located on the lower abdomen with the palm down, the other - under the lower back. Take a deep breath, and as you exhale, draw in your stomach as much as possible. Hold in this position for 1 minute. At this time, perform the technique of compression, contraction and extrusion. On the exhale, relax the stomach.
5. 5. Take the lotus position. Sitting, cross your legs, straighten your back. Move the pelvis inward and upward, tensing the muscles.
6. 6. Standing, bend your legs slightly at the knees and rest your hands on them. In this position, move the pelvis inward and upward.

Kegel exercises are contraindicated to do:

• patients who have undergone abdominal surgery;
• in the presence of benign or malignant neoplasms in the pelvis and prostate;
• in acute inflammatory or infectious process.

Improvement occurs after 2 weeks of regular exercise.

Physiotherapy

Physiotherapy is safe, painless and has no side effects. The main effect of such treatment is based on the passage of a weak current discharge throughout the body. It improves nerve and muscle regulation.

To get rid of enuresis, apply:

• electrosleep (to restore the nervous system);
• darsonval on the bladder area to strengthen the sphincter;
• electrophoresis to improve the conduction of nerve impulses;
• magnetic therapy, which causes relaxation of the walls of the bladder, so its emptying will occur less frequently.

Some people benefit from reflexology:

• acupuncture;
• mud treatment;
• paraffin therapy;
• ozokerite on the bladder area;
• taking nitrogen, coniferous, salt baths;
• circular shower.

Medical treatment

To choose drugs for the treatment of enuresis, it is necessary to find out the cause of the disease. This should only be done by a specialist. Essential medicines:

Folk methods

Folk remedies for the treatment of enuresis have proven their effectiveness with an integrated approach:

Enuresis is urinary incontinence. And nocturnal enuresis means that a person is unable to control the process of urination during sleep. Simply put, he wets the bed when he sleeps.

Daytime enuresis is much less common. It appears after suffering a severe psychological trauma, which caused a malfunction in the nervous system.

The problem of bedwetting is as old as humanity itself. Even the doctors of ancient Egypt were looking for ways to control the bladder. Since then, medicine has advanced significantly, but experts do not give a 100% guarantee that you will get rid of this problem.

In modern medicine, nocturnal enuresis is not considered a disease, but rather a stage in development when a person is just learning to control the functions of his body and develop reflexes. Normally, a child should learn this by the age of 6. But in practice, 10% of six-year-olds do not know how to do this. Over the years, the problem has subsided. At 10 years old, 5% suffer from enuresis, and at 18 only 1%. Among adults, one in 200 people periodically lose control of their bladder during sleep. Thus, among those who suffer from this phenomenon are almost 94% of children, 5% of adolescents and 1% of adults.

Among boys it is observed 2 times more often than among girls. But in old age, bedwetting is more common in women.

Small, thin children are more likely to suffer from enuresis. Infections of the kidneys and bladder also play an important role in the onset of the disease. Often incontinence in children is a way of psychological protest. It may be the result of a lack of attention, or vice versa, a reaction to increased parental care. Enuresis occurs in shy and fearful babies. Most patients with this deviation are from disadvantaged, low-income or large families.

Enuresis is treated by many specialists: pediatric neurologists, endocrinologists, pediatricians, urologists, nephrologists, psychiatrists, homeopaths, physiotherapists. They offer over 300 comprehensive techniques to combat this problem. Among them there are quite exotic methods: acupuncture, hypnosis, dolphin therapy.

Types of enuresis

• Primary- The child has never been able to control the bladder in a dream. This option is considered the easiest. In 98% of cases, it resolves without treatment.
• Secondary- there was a period of at least 6 months in the child's life when the bed remained dry every day.
  There are also complicated and uncomplicated nocturnal enuresis.
• Uncomplicated. - in addition to the fact that the child urinates in a dream, he has no other deviations in health.
• Complicated- accompanied by deviations in mental or physical development, inflammation of the kidneys or bladder.
  There are also neurotic and neurosis-like enuresis.
• Neurotic- occurs among shy and shy children. They often have light, superficial sleep. Such children are very worried about their "wet" nights and are often afraid to fall asleep for this reason.
• neurosis-like- noted in nervous children, who often throw tantrums. They don't worry too much about nighttime urination. This continues until adolescence. Then the picture changes, and the problem begins to oppress them greatly. Such teenagers become withdrawn and gloomy, they may develop neuroses.

Why does enuresis occur in girls?

1. The girl has not yet learned to control her reflexes. This is due to the fact that her nervous system is not yet fully debugged. This happens even with those girls who do not lag behind their peers in other indicators.
2. Psychological trauma, stress. Often the problem appears after the family has a second child, moving, transferring to a new school, divorce of parents. In this case, enuresis is a subconscious protest or an attempt to return to childhood.
3. Very deep sleep . The child sleeps soundly and does not feel that the bladder is full. This may be a congenital feature of the nervous system or the result of the fact that the girl is very overtired. In the latter case, wet sheets are not often, but after eventful days.
4. The child drinks a lot of fluids. Often girls like to have tea parties in the evening. Especially if during the day they ate salty food (chips, crackers). Often this happens during colds, when parents try to water the baby more.
5. A large amount of urine is excreted at night (nocturnal polyuria). Normally, the body produces 2 times less urine at night than during the day. This feature of the body is regulated by the hormone vasopressin, which is produced at night. But in some girls, the amount of this hormone may temporarily decrease.
6. Heredity. Scientists have found that if both parents encountered this problem in childhood, then the probability of developing enuresis in a child is 75%. If only one of the parents is a carrier of this gene, then the risk that the girl will have enuresis is 30%.
7. Infections of the urinary system. Due to the fact that girls have a short and wide urethra, an infection from the genitals easily penetrates into it. Then the microorganisms rise higher into the bladder and cause inflammation (cystitis). This disease is accompanied by frequent urination, which the girl cannot always control.
8. Injuries to the spine or spinal cord. Often such injuries appear due to a complicated pregnancy or injuries received during childbirth. As a result, the nerve impulse from the bladder does not reach the brain well.
9. Lag in development. If a girl has a mental or physical retardation, then her biological age is much less than the calendar one. In this case, she has not yet had time to form the necessary reflex.

Why does enuresis occur in boys?

1. The development of the conditioned reflex has not been completed. Each person's nervous system has its own characteristics. Some get used to controlling their body earlier, while others complete this process later.
2. Hyperactivity- the activity and excitability of the child greatly exceeds the norm. In boys, this condition is noted 4 times more often. Active processes in the cerebral cortex, as it were, suppress the bladder's attempts to talk about its problem. And as a result, the urge to urinate remains “not heard” by the brain.
3. Stress and strong emotions. Some situations that are accompanied by nervous tension or fear can cause enuresis. The child may be frightened of the dog, upset because of the quarrel of the parents, or because he was left alone. Therefore, if possible, avoid situations that can cause psychological trauma to the baby.
4. Overprotection and attention deficit. Enuresis often affects boys who grow up in single-parent families without a father. Often in this case, mother and grandmother overprotect the child. He feels "small" and subconsciously behaves accordingly. In children who experience a lack of parental attention, the situation is the opposite. They really want to return to childhood and feel cared for. Therefore, in a dream they behave like little ones.
5. Violation of the endocrine glands and hormonal balance. Thin, small boys whose height is not appropriate for their age are deficient in growth hormone. But the fact is that at the same time the amount of other hormones that are responsible for controlling the bladder, the amount and concentration of urine also decreases. These are vasopressin and atrial natriuretic hormone.
6. Birth trauma. The brain in boys develops somewhat later than in girls. Therefore, they are more likely to be injured during childbirth. These injuries of the spinal cord and brain cause enuresis in boys.
7. Inflammatory diseases of the kidneys and bladder. Inflammatory processes in the kidneys and bladder very often cause urination disorders. They are easy to identify by general urinalysis. If the boy has congenital features of the urinary tract, they can also affect the formation of the reflex.
8. hereditary tendency. In 75% of cases, the parental genes are to blame for the fact that the boy has enuresis. If mom or dad suffered from this problem in childhood, then the probability that the boy will repeat their fate is 40%.
9. diaper habit. Recently, diapers are increasingly blamed for the occurrence of enuresis in boys. The child gets used to the fact that you can urinate in your pants and at the same time it will not become wet and cold. Therefore, it is so important to abandon diapers until 2 years of age.
10. Allergic reactions and bronchial asthma. The mechanism that links allergy and the onset of enuresis has not been fully elucidated. But boys with allergies are prone to peeing in their sleep. It is possible that the brain experiences oxygen starvation and copes with its functions worse.

Why does enuresis occur in teenagers?

1. Congenital disorders of the nervous system, which are responsible for the formation of a conditioned reflex.
2. Violations of the "watchdog" reflex due to injury. Especially often this reason is noted in adolescent boys who have increased activity.
3. Heredity. The tendency to enuresis is inherited. This happens especially often if both parents had this diagnosis in childhood.
4. Congenital pathologies of the kidneys, bladder and urinary tract. Often they cause inflammatory processes (cystitis and nephritis). During these diseases, it is much more difficult to control urination.
5. Mental disorders. Depression and neuroses often appear at this age. They can contribute to the fact that problems long forgotten in childhood become relevant again. The complexes and experiences that a teenager experiences on this occasion further exacerbate the problem.
6. stressful situations. In adolescence, there are enough nervous shocks, and they are perceived very sharply. Failure at school, problems with peers, stressful situations in the family and physical punishment can trigger the onset of nocturnal enuresis.
7. Hormonal changes in adolescence. The period of sexual maturation causes a failure in the production of hormones. Among them there are those that regulate the processes of emptying the bladder.

Why does enuresis occur in adults?

1. Congenital anomalies of the urinary system. These include: too small bladder size, too thick and inelastic walls.
2. Hormonal changes in women during menopause. These changes cause a deficiency in the hormones that control the bladder. They cause the kidneys to produce more urine at night than usual, and this can cause nocturnal enuresis.
3. Tumors. Neoplasms can interfere with the transmission of a nerve signal from the bladder to the cerebral cortex.
4. Weakness of the muscles of the small pelvis and pelvic floor. Muscles can weaken after pregnancy or with age. This problem is one of the most common causes of enuresis in women.
5. Aging processes in the cerebral cortex and spinal cord. With age, the connection between nerve cells is disrupted, which, as if in a chain, transmit a nerve impulse from the bladder to the cerebral cortex. It is there that the center is located, which wakes us up at night and sends us to the toilet.
6. Weakening of the bladder sphincter. The sphincter is a circular muscle that closes the lumen of the bladder and prevents urine from flowing out. Normally, we consciously relax it when we urinate. But with age, this muscle weakens and therefore, when the bladder fills up at night, it is not able to keep it from emptying.

What are the effective treatments for enuresis in children?

There are more than three hundred different ways to deal with enuresis in children. Each of them is quite effective. All of them can be divided into three groups:

• Medications (various drugs)


• Non-drug (physiotherapeutic and psychological methods)


• Regime (night "landing" on the potty)

Drug treatments for enuresis in children

Sometimes enuresis occurs as a result of delayed development of the nervous system. In such cases, nootropic drugs are prescribed. They speed up the development process. Good results are obtained by the use of the hormone desmopressin, which regulates the amount and composition of urine, and the functioning of the bladder.

Non-drug treatments for enuresis in children

Physiotherapeutic methods improve the functioning of the bladder and nervous system. For these purposes, electrosleep, electrophoresis, magnetotherapy, acupuncture, music therapy, baths and circular showers, massage and therapeutic exercises are often used.

The help of a psychologist and psychotherapist will help the baby cope with an unruly bladder. The specialist will teach him the techniques of relaxation and self-hypnosis. An effective method would be to keep a special diary. Each dry night in it is signified by the sun, and wet sheets by a cloud. Five suns in a row is a great occasion to receive a small incentive prize from your parents.

To successfully fight enuresis, a child should adhere to a certain diet and not drink after dinner. The most famous diet was developed by N.I. Krasnogorsky. It is aimed at ensuring that at night water lingers in the body. To do this, before going to bed, the baby is given bread with salt, a piece of herring and sweet water. During the day, the child's menu is very diverse and rich in vitamins.

Regime methods of treatment of enuresis in children

It is important to strictly observe the regimen and put the child under 10 years old at exactly 21:00. After 17 hours, it is necessary to sharply reduce the amount of liquid that the child drinks. If the rate of a child under 5 years old is 1 liter, then distribute it in this way. 700 ml up to 15 hours, 200 ml up to 18 hours, 100 ml in the evening.

4 hours before bedtime, the baby's games should not be too active. Let the child draw, read, watch a non-scary cartoon.

The bed of the child should be with a slight elevation in the pelvis and under the knees. To do this, just put a small roller of a folded bedspread under the mattress. This special bed will help reduce pressure on the walls of the bladder.

Make sure that the baby does not get cold either day or night. The legs should be especially warm. If they freeze, then the bladder reflexively begins to fill.

Before going to bed, the child must go to the toilet. And during the night it is worth waking him up several times. Potty seat your child an hour after falling asleep and then every three hours throughout the night. But make sure that he does "his job" not half asleep. If he naps on the potty, then this can only worsen the situation. Turn on a dim light, talk to the baby. Get clear answers from him to make sure he is really awake.

Ask your child if he needs a night light. Often children are afraid to get out of bed because of the darkness. It is easier for them to sleep on wet sheets than to crawl out from under the covers. After all, most kids are sure that monsters are hiding under the bed in the dark.

If in the morning you still notice that the bed is wet, then do not scold the child. Mom's screams and despair in the eyes show the baby that the problem is big and terrible. And that means that he, so small and weak, cannot cope with it. Make the bed together and explain to the child that this happens to many children, but every child can lock urine in his tummy until the morning. And he will certainly cope with this task. After all, he is the best!

Any of the methods will give good results only on the condition that the child himself will be interested in solving the problem. He will also need the support of all family members. Believe in your child and inspire him with confidence in his abilities.

How to treat enuresis in adults?

Regime events

Avoid drinks and foods that have a diuretic effect. These are beer, coffee, strong tea, cola, cranberry juice, herbal infusions (corn stigmas, birch buds), watermelon, strawberries.

Stick to the diet developed by N.I. Krasnogorsky. After dinner, eat meals with a small amount of water. Reduce the volume of drinks by 2-3 times after 15.00. Don't drink 4 hours before bed. And before you go to bed, eat a sandwich with salted fish or just bread and salt. Drink it down with half a glass of water. Salt retains water in the body, preventing it from collecting in the bladder.

Putting a pillow under the mattress at your feet will help relieve pressure on the sphincter that closes the bladder. Thus, you will strengthen the protection against leakage.

Your bed should be fairly firm. First, it will provide good support to the spine. Nerve signals from the bladder will be better transmitted to the brain. And secondly, on a hard bed, your sleep will be more sensitive and it will be easier for you to wake up at the right time.

Set an alarm clock, let it wake you up 2-3 hours after you fall asleep. Change your wake-up time every few days so you don't get used to waking up at the same time every night.

Try to avoid stressful situations and not be nervous. When you are calm, it is much easier for you to control your body.

Psychotherapy

Behavioral techniques often work well when good nights can be rewarded. Of course, adults do it themselves. But even these small gifts increase motivation well.

Some methods of self-hypnosis can be mastered on your own. Try to keep the evening calm. Relax completely before falling asleep. Feel how every muscle in your body is at rest. Then, for a few minutes, say to yourself, or better aloud, the key phrase: “I have complete control of my body and my bladder. When it's full, I'll get a signal and wake up." Be confident in your abilities, and everything will definitely work out. After all, the human body is able to cope with more complex tasks.

If you have a logical mindset and you do not give in to suggestion, then rational psychotherapy will help in this case. The specialist will introduce you to new information about your problem and about the possibilities of your body. He will convince you with the help of logic that enuresis is not a complex and dangerous disease, and it is within your power to cope with it.

Receptions of physiotherapy exercises (LFK)

During the process of urination, try to stop. Block the outflow of urine from the bladder with the help of muscles. Listen to your feelings, what muscles are tense at the same time? Now relax and continue emptying your bladder. Repeat the exercises every time you go to the toilet. Then you can perform the same exercises and just lying in bed. This is a very efficient method.

Physiotherapy for the treatment of enuresis in adults

• electrosleep- normalizes sleep patterns and calms the nervous system. It is excellent for those who have problems with urination associated with neurosis and other nervous disorders.


• Darsonval on the bladder area- strengthens the sphincter that closes the bladder.


• Electrophoresis. Various types of this procedure improve the functioning of the nervous system.


• Magnetotherapy relaxes the walls of the bladder. Reduces the desire to urinate.

1. Medicinal mud, warm paraffin and ozocerite are applied to the lumbar region and above the pubis. The procedure helps to increase blood flow to this area, relieve inflammation and muscle spasms near the spine. This improves the condition of the nerves from the bladder to the spinal cord.


2. Hydrotherapy: shower (rain and circular) baths (nitrogen, pearl, salt-coniferous). The latter type can be done at home.


3. Acupuncture. Special thin needles are inserted into reflex points on the body. This improves not only the functioning of the nervous system, but also the emotional state and sleep.


4. Music therapy, art therapy. Treatment with music and drawing soothes and creates a positive mood.


5. Therapy with animals. The best results are obtained by communication with horses and dolphins. But if dogs and cats improve your mood, then they can also be great helpers in treatment. After all, its success depends on your emotions.

Treatment of enuresis in adults with medication.

• If enuresis is caused by inflammation in the genitourinary organs, then antibiotics are necessary: ​​Monural, Norfloxacin.
• For the treatment of kidney diseases, nitrofuran drugs are used: Furamag, Furadonin.
• Tranquilizers for normalizing sleep: Radedorm, Eunoktin. They have a calming effect, help get rid of negative emotions, tune in a positive way.
• Nootropics: Glycine, Piracetam, Picamilon. They improve the functioning of the nervous system, contribute to the development of a conditioned reflex.
• Antidepressant Amitriptyline. It relieves patients from strong experiences that caused psychogenic enuresis.
• M-anticholinergics: Sibutin Driptan. Relax tense bladder muscles, relieve spasm. This allows you to increase its volume and restrain the urge to urinate. It will be able to hold more urine. Therefore, a person will be able to sleep until morning without having to go to the toilet.
• Artificial hormone desmopressin. It helps reduce the amount of urine that is excreted at night. Adiuretin-SD - nasal drops based on this hormone. Very easy to use form. In severe cases, desmopressin is given intravenously. This increases its efficiency several times.

Folk remedies for enuresis

Honey perfectly calms the nervous system before going to bed and helps retain water in the body. A tablespoon of honey should be eaten before going to bed, you can drink it with a few sips of water.

Walking on the buttocks strengthens the pelvic floor muscles and the bladder wall. It is necessary to sit on the floor, straighten your legs. Alternately move your legs forward, contracting the muscles of the buttocks. You need to go forward 2 meters, and then go back in the same way.

Good results in the treatment of enuresis in adults are obtained by visiting bioenergetics and traditional healers. They know how to adjust the work of the nervous system in a special way and have the gift of suggestion.

What are the alternative methods of treatment of nocturnal enuresis?

What pills are used in the treatment of enuresis?

How can enuresis be treated at home?

Urinary incontinence mainly at night doctors call enuresis. The frequency of its occurrence in men is quite high. The situation when an adult man described himself in a dream is not immediately brought to the attention of doctors.

But repeated cases make the patient and his relatives think about the seriousness of the problem and turn to a specialist. After a thorough diagnosis, the causes are identified and treatment is prescribed. The disease cannot be treated on its own, especially since it may be the result of another, more serious problem.

Urinary incontinence at night in men is called "incontinence". The process of urination in this pathology is absolutely not controlled by a person. There are two groups of diseases:

1. primary incontinence. The reason is the weakness of the muscles of the bladder, developmental defects.
2. Secondary incontinence. It is not considered an independent disease, but is a consequence of other diseases, injuries, inflammatory processes. It often occurs in older men, as chronic pathologies accumulate with age, leading to a weakening of muscle tone and a violation of the innervation of the bladder.

The problem of lack of urge to urinate attracts a lot of attention from doctors, psychologists, and sociologists. This is due to psychological and physiological discomfort in patients, which leads to depression, complexes, and in some cases leads to disability. Doctors define 4 types of enuresis in men:

1. Urgent. The patient is aware that he has an urge to urinate but is unable to control it. It is observed in diabetes mellitus, stroke, Parkinson's disease.
2. Stressful. One of the most common types of urination disorders. Appears during laughter, coughing, lifting weights. The process starts due to excessive pressure on the walls of the bladder.
3. Mixed. It combines the symptoms of the first two types, when, due to overfilling of the bladder, uncontrolled urination occurs and the contractility of the sphincters is disturbed.
4. Transient. Violation of the excretion of urine at night in men is temporary in the background of taking medications, acute infectious diseases of the genitourinary system, constipation.

The effectiveness of the treatment of any type of enuresis depends on the timely visit to the doctor, who will prescribe an examination and identify the main causes of the pathology.

Causes of nocturnal enuresis in men

Bedwetting is typical for men older than 45-50 years. In addition to age, doctors call a variety of causes of involuntary urination:

• low stress resistance of a person, susceptibility to panic attacks;
• neurological disorders, Parkinson's disease or multiple sclerosis;
• anomalies in the development of the organs of the urinary system;
• injuries of the spine, pelvic organs;
• infectious diseases of the genitourinary organs;
• violations of the bladder emptying reflex;
• neoplasms of various etiologies in the organs of the urinary and reproductive systems, as well as in the spinal cord;
• metabolic disease;
• structural changes in the tissues of the genitourinary system due to age;
• taking diuretic, relaxing and sedative drugs;
• infectious processes in the body, manifested by a strong cough, sneezing;
• alcohol and drug addiction.

Urinary incontinence in men during sleep can be recurrent in nature, when cases of enuresis are replaced by dry periods. Permanent violation of urination can occur against the background of diseases of the prostate gland. With successful treatment of the underlying cause, the symptoms of enuresis are also eliminated.

Diagnostics

Involuntary urination in men during sleep requires a thorough examination.

Diagnosis of the disease includes:

• primary examination by a urologist in order to identify the characteristics of the disease, the correspondence of the number of urination to the volume of fluid consumed;
• ultrasound procedure;
• radiography;
• urine laboratory tests.

If necessary, the urologist prescribes additional research methods:

• profilometry - measurement of pressure in the urethra;
• uroflowmetry - the study of various parameters of the urination process.

Based on the results of the examination, the doctor establishes an accurate diagnosis and prescribes a course of treatment.

Treatment of nocturnal enuresis in men

Treatment of enuresis is prescribed by a urologist. A course of therapy was directed to reduce the contractile activity of the bladder and to increase its volume. To achieve the result, the patient must strictly follow all the recommendations of the doctor, take medications, adhere to the treatment regimen.

Complex therapy helps to relieve the patient from sleep incontinence, which includes:

1. Regular exercise. Designed to strengthen the muscles of the perineum and pelvis. It is recommended to master Kegel exercises for this.
2. Taking medication. Drugs are prescribed that normalize the contractile function of the bladder. If an infectious disease is detected, a course of antibacterial drugs, antispasmodics is recommended. The depressive state of the patient is considered an indication for taking tranquilizers.
3. Methods of physiotherapy.
4. Normalize the transmission of nerve impulses from the brain to the pelvic organs and vice versa. Well helps to cope with the task of electrosleep, electrophoresis, magnetotherapy.
5. Surgery.

In some situations, the treatment of enuresis in adults is possible only by surgery. This method allows you to perform a sling operation, expand the urethra with a special balloon, sew a valve into the bladder, and so on.

The effectiveness of the treatment of enuresis in adult men increases with smoking cessation and alcohol intake.

Treatment of primary and secondary urinary incontinence has its own characteristics.

Treatment of primary enuresis

Uncontrolled urination at night in men, diagnosed from an early age, doctors call primary. This phenomenon is rare, it is detected in no more than % of the representatives of the stronger sex.

Patients are prescribed treatment aimed at stabilizing the work of the nervous system:

• forced awakening during a night's sleep at three-hour intervals;
• taking antidiuretics;
• surgery in special cases.

Treatment of acquired secondary enuresis

Spontaneous urination during sleep in men is called secondary if it is a consequence of the development of another disease. The decision on treatment is made only after finding out the cause.

After the diagnosis is made, treatment is prescribed:

• taking medications that slow down the growth of prostate neoplasms when they are detected;
• drugs that reduce the activity of the bladder detrusor in diabetes mellitus;
• oxygen therapy in the diagnosis of sleep apnea, as well as the use of special devices;
• taking funds that normalize the hormonal background, with thyrotoxicosis and other endocrine disorders.

In the presence of urine leakage after the main urination, exercises developed by Kegel are prescribed. They are aimed at increasing muscle tone and normalizing the functioning of the urinary organs. In this case, you need to strain the muscles of the small pelvis 10 times and hold in this position for at least 3 seconds. Each time increase the duration of the voltage to 10 seconds. Doctors advise doing exercises at least three times a day.

Prevention

Involuntary urination in a dream negatively affects the self-esteem of men, their personal life. Therefore, it is important to maintain health and prevent the development of pathology. For this you need:

• give up smoking and alcohol;
• to live an active lifestyle;
• observe the drinking regime;
• enrich the diet with fruits, vegetables, cereals;
• exclude fried, spicy and smoked foods from the menu;
• normalize sleep.

Many men are embarrassed by the problem of bedwetting, which leads to an aggravation of the situation. Timely seeking help will help avoid possible complications and defeat enuresis in the initial stage.

Representatives of the stronger sex prefer to remain silent about the problem associated with urinary incontinence. This problem is especially common in older men.

However, it is important to know that enuresis in adulthood is treatable.

Features of enuresis in men

Enuresis is characterized uncontrolled release of urine from the urethra. This causes significant discomfort, causing not only physical, but also psychological inconvenience.

For older men, a diagnosis of enuresis will not be life threatening, but will affect the nervous system, and may subsequently lead to withdrawal from society due to the embarrassment of being awkward. The harbingers of the disease in older men are problems with the nervous system, vessels and organs of the urinary system.

Men are often silent about their illness and do not want to spread not only to the doctor, but also to their loved ones. Therefore, various complications occur, many times exacerbating the course of the disease and the conduct of medical measures.

In the International Classification of Diseases, which is used by physicians around the world, this disease is referred to as F98.0 and refers to enuresis of inorganic nature.

After the patient had a stroke he has urinary incontinence. This becomes an unpleasant phenomenon not only for the person himself, but also for those who care for him. In addition to urine, a person in this state experiences fecal incontinence, which also negatively affects the psychological state and interferes with a speedy recovery.

At the same time, urine can leak drop by drop, and sometimes it is excreted in portions. Therefore, it is important to pay attention to this symptom in the first days after a stroke and tell your doctor about the problem. Enuresis in this case occurs due to loss of control over some parts of the brain.

Diagnosis of the disease

Success lies not only in making a diagnosis for an adult male, but also in correctly identifying the cause of urinary incontinence. A man who goes to a medical specialist comes with certain complaints, on the basis of which the doctor can assume a particular condition.

Diagnostic measures are carried out using the following types of research:

• Studies related to urodynamic and endoscopic methods.
• Carrying out "cough" tests. The doctor prescribes this study with a full bladder.
• Collecting an anamnesis, that is, complaints from a man.
• Carrying out daily “pad-test”. This method consists of wearing a pad during the day, which can show the level of urine output from the urinary tract, and after that it will help to make a correct diagnosis.
• Ultrasound examination aimed at examining the bladder and organs of the urinary system.
• General urological examination.

The most effective method for diagnosing a disease is combined urodynamic study. It is characterized by cystometry and profilometry, as well as uroflowmetry. These methods are most effective in identifying the cause of the disease and determining the condition of the excretory tract for urine.

After a comprehensive examination of the patient, the doctor will decide on the diagnosis of enuresis or its refutation. If urinary incontinence is confirmed in a man, then he will be prescribed a competent treatment regimen, which he must adhere to until he completely forgets about uncontrolled urine output.

How to get rid of the disease - therapeutic measures

Treatment options will depend on the degree of disease progression, as well as from previous treatments, if the patient has already experienced problems with this disease. The cause of enuresis is also important for the correct treatment regimen.

You can get rid of incontinence by undergoing treatment or surgery if other methods are not able to cope with the pathological condition.

conservative methods

To conservative methods elimination of the disease include:

• Therapy associated with taking medications. These include drugs that can eliminate problems with the central nervous system, as well as improve microcirculation in the circulatory system.

Antispasmodics eliminate the tone in the bladder and significantly improve its functionality. Effective are the means that have an effect on the hormonal background of a person. If a person has developed disorders of the nervous system, they are eliminated by the use of antidepressants.

• Physiotherapy activities. These include extracorporeal exposure to a magnet and the method of electrical stimulation.
• Compliance with a certain, capable of establishing many systems of the human body.
• Exercises that improve the psychological state of the patient and strengthen the muscles of the pelvic floor. These exercises include the method.

During treatment, in order to eliminate psychological inconvenience, a man is prescribed to wear special gaskets hiding systematic leaks.

If an adult male has a copious portion of urine, then he is prescribed to wear special underpants designed to absorb urine. They eliminate urine and are not visible under clothing.

Many people are advised to play sports, avoid alcohol and other bad habits. Muscles need to be strengthened both at home and on the street, for this, experts recommend training them with gradual tension and then relaxation.

This method helps in many cases, especially when the muscles have weakened, and this is due to the age characteristics of the patient.

Surgical intervention

Conservative methods are carried out within six months. If during this period there has been no improvement in the body and urine continues to be excreted without the control of the brain, then the doctor decides to perform a surgical intervention.

Surgical treatment is often carried out with the installation of an artificial sphincter, a special valve made in the form of a ring. This method is effective when removing the prostate or after surgery to eliminate tumors in the pelvic organs.

This method has particular disadvantages characterized by frequent erosions and periprosthetic infections.

Another method to eliminate incontinence is in collagen injections. This method is successful in almost half of the cases, especially when the patient suffers from tumors in the urinary tract.

The disadvantage of this method is the gradual resorption of the substance and, as a result, the loss of effect and new signs of uncontrolled urination.

The third method used in modern medicine is to create a male loop implantation or, as this method is also called, "sling operation".

The essence of the method lies in wrapping the urethral area with a special mesh made of synthetic fiber. The edges of such a mesh are strengthened to the bones of the small pelvis. This method provides support to the urethra and prevents premature fluid leakage.

A similar method every year becomes more perfect and effective for many patients. The positive effect of such an operation occurs almost ninety percent of the time.

Modern medicine has more than a hundred different implants that can eliminate a specific problem in adult men.

Folk methods

Many urologists recommend that patients, in addition to drug therapy, carry out treatment with folk remedies. It is especially important to carry out such therapeutic measures using traditional medicine. after an acute period of illness, or for the treatment of the elderly.

An effective method for treating leakage is to take infusions prepared from wild rose. This is due to the fact that it contains an excess amount of vitamin C, which can normalize the body's defenses and strengthen the immune system. The oxidizing agents that make up the product and flavonoids normalize the PH balance in the composition of urine.

To eliminate urinary incontinence, the following recipes will be effective:

1. one teaspoon of plantain is brewed with 250 milliliters of water, after which the infusion stands for an hour, wrapped in a towel. This decoction is taken three times a day, one tablespoon, preferably before meals;
2. five tablespoons of sage are poured with one liter of boiling water, after which they insist and take one teaspoon once a day;
3. tea made from St. John's wort, copes with the symptoms of incontinence. Drink it several tablespoons a day.

Traditional medicine recommends eating vegetables and fruits that fill the body with vitamins and useful trace elements. Not recommended abuse diuretic products and seas. This can make your incontinence problem worse.

What can be done to prevent enuresis?

After the disease has receded, we must not forget about preventive measures aimed at strengthening the muscles and the psychological state of the patient. To preventive measures include:

• Leading a healthy lifestyle, accompanied by moderate physical activity on the body.
• Quit smoking and alcohol.
• Doing pelvic floor strengthening exercises on a daily basis.
• Examinations at the urologist (about once a year).
• Prevention of diseases such as stroke or Parkinson's disease.
• The use of vitamins and trace elements.

The doctor will tell us about the problem of enuresis in adults in a video clip: