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Lower urinary tract symptoms in men, age-related (including symptoms of benign prostatic hyperplasia/hypertrophy) - Management
How do I manage stress urinary incontinence?

  • If necessary, offer a choice of temporary urine containment products (such as sheath and leg bag, absorbent pads, and absorbent pants) to achieve social continence, and refer the man to the local continence service.
    • To find the local continence service, telephone the Bowel and Bladder Foundation on 01536 533 255.
  • Advise the man on fluid intake and lifestyle and offer information on self-help resources.
  • When stress urinary incontinence is not caused by prostatectomy, refer the man for specialist assessment to confirm the cause.
  • When stress urinary incontinence is caused by prostatectomy, offer referral for supervised pelvic floor muscle training.
    • Advise that the exercises should be performed for at least 3 months before considering referral to secondary care for assessment for other invasive treatment options.
    • Supervised pelvic floor training may be available from the local continence nurse, continence physiotherapist, or urology clinic.

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