by Angela Medieros, Staff Writer

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When a loved one has undergone prostate surgery, incontinence may result as a complication.  The prostate gland is an organ surrounding the male urethra, which is the passageway for urine to exit the body.  After any destruction to the gland, either through treatment for cancer, or a removal due to the prostate’s non-cancerous enlargement, there is a chance for incontinence.

Incontinence itself is not a “disease,” but a symptom or side effect of another condition which underlies it.  In both men and women, the spinal cord nerves assist with bladder sensation and control, as to the muscles surrounding the pelvis.  Many conditions can be treated, but until full treatment is implemented and is successful, incontinence must be dealt with.

Addressing the matter with your loved one will help ease their stress and yours.  As an unwanted condition that is embarrassing to the loved one, it is important for caregivers to have “control” options available.  Some may come in medication form prescribed by the doctor.  Others are medical supplies that can be purchased over the counter, or via insurance if covered.

TYPES OF INCONTINENCE

Incontinence can occur at nighttime in individuals of any age.  Known as enuresis or “bedwetting,” it is attributed to children.  This psychological stigma may prevent your loved one from dealing with the situation.  As a caregiver, you may be inclined to call them “accidents.”  Although they may occur less frequently than with other types of incontinence, take the “better safe than sorry” approach on a nightly basis.

Environmental incontinence occurs in households that have too many obstacles between the individual and the bathroom.  In one bathroom homes, children or visitors may be occupying the facilities when the urge appears.  This type of incontinence can also occur on trips of any length. 

Total incontinence may occur when there is damage to the bladder or urethra, and is constant.  This is the most taxing upon caregivers and loved ones, and requires more intervention.

Both reflex and functional incontinence can occur in patients who have dementia, stroke or other sensory awareness dysfunctions.  As with total incontinence, interventions that are more advanced, or combined with medication and fluid control, can help.