Category: News

Men’s Guide to Urinary Incontinence

While women are more likely than men to experience urinary incontinence, the condition can be especially troublesome for men. Men seek care from incontinence after living with the problem for about 4.2 years on average. You don’t have to wait years to get some help. Take control by reading this men’s guide to urinary incontinence.

What Type Do You Have?

Start by knowing what kind of urinary incontinence (UI) you are dealing with. Recognizing the type leads to the causes, and the appropriate self care or treatment follows.

If you have a sudden overwhelming need to pee, and you can barely make it to the bathroom, this is known as urge incontinence. This is also known as an overactive bladder (OAB).

When certain behaviors like coughing, laughing, or bending over put pressure on your bladder and cause a leakage, this is stress incontinence.

If you realize you have a combination of stress and urge incontinence, It’s called mixed incontinence.

Lastly, overflow incontinence is when you never seem to be able to completely empty your bladder, and leakages or dribbling occurs frequently.

All of these issues can be treated and improved by making an appointment with Dr. Javidan in our Folsom office.

Common Causes of Male Incontinence

Sometimes male incontinence can occur due to medical conditions like benign prostatic hyperplasia (enlarged prostate), diabetes, or Parkinson’s disease. It can happen after some types of prostate surgery from damage to the sphincter muscle.

Bladder control issues can be short term or long term. Certain medications can cause short-term UI. Cold therapies, depression medications, sedatives and diuretics can also lead to short-term incontinence.

It does occur more as men get older, but age is not a normal cause and treatment is within reach.

Conservative Management of Male Urinary Incontinence

You can take some control and make lifestyle changes on your own like the following:

  • Limit caffeine, sodas, alcohol, and tea, especially before bed. All these can irritate your bladder, but don’t cut back liquids so much you become dehydrated.
  • Figure out your triggers. Is it spicy foods, chocolate, or artificial sweeteners? Eliminate certain things from your diet and note any changes/improvements. Maintain a healthy weight.
  • Try yoga, breathing exercises, and meditation plus anything that will reduce stress in your life.
  • Set pee time. Go to the bathroom every half hour at first (whether you feel the need to go or not). Then make the time in between a little longer. Slowly work your way up to 4 hours if possible.
  • Learn Kegel exercises.

After trying these conservative lifestyle changes, schedule a visit with urologist Javid Javidan, MD in Sacramento area to discuss prescribed medications, devices, or procedures that could help.

Don’t live with urinary incontinence. Contact Dr. Javidan at (916) 245-2444 to explore which treatments may be right for you.

How Does Family History Affect My Prostate Cancer Risk?

Some traits men inherit from family members can be welcome. Others like baldness and risks for developing cancer, not so much. When it comes to prostate cancer how does family history affect your prostate cancer risk?

Risk Factors And Statistics

Risk factors are anything that increase your chances of getting a disease like cancer. Prostate cancer does run in families and there may be an inherited genetic factor, although counterintuitively, most prostate cancers occur in men without a family history.

Your chances of getting prostate cancer doubles if a brother or father had the disease, though the risk seems to be even higher if your brother had it as opposed to your father. In addition, if some male relatives were diagnosed when they were young, the risk is even higher.

If two close relatives were affected, the risk for developing prostate cancer is increased five-fold.

Older men and non-Hispanic black Americans are more likely to develop prostate cancer than younger ones, and in fact, 6 out of 10 cases are men older than 65.

At the same time, although a serious disease, most men diagnosed with it do not die.

The American Cancer Society recommends that men with a family history talk to Urologist Javid Javidan, MD at age 40 – 45.

Recent Studies

Research conducted by both The American Cancer Society and Sloan Kettering Cancer Center are looking at a number of inheritable genetic changes that might add to a person’s risk of developing prostate cancer.

Men with mutations in the gene BRCA2 and possibly BRCA1 (which increases the risk of ovarian and breast cancer in women) are being studied. Nothing is conclusive as yet.

The goal is to establish to what extent these mutations play a role in causing the disease. Once more information is gained, it could give doctors better methods of identifying men with increased risks and maybe lead to new treatments.

Imperfect Prostate Cancer Screenings

Screening for prostate cancer is done with a prostate-specific antigen (PSA) test. The test is a bit unreliable as it sometimes misses seeing cancer. Other times it can find something questionable and it turns out to be nothing.

The advantages of the screening is reducing deaths, but there can also be harm done from unnecessary treatment.

Complications from treatments for prostate cancer can include urinary and bowel issues plus sexual side effects. Unfortunately there are no tests that tell you if the cancer is slow growing or aggressive.

Ask Advanced Urology, about your personal risk factors and consider whether screening for prostate cancer is right for you.

If you are concerned that several family members had prostate cancer, or because someone was diagnosed at an early age, contact Urologist Javid Javidan, MD to help you manage risks.

In Remembrance of Dr. Eric Freedman, MD 3/12/1958 – 9/25/2022

With the passing of Dr. Eric Freedman, we have been mourning the loss of a role model, friend and confidant. Dr. Freedman served his community as a Urologist at Advanced Urology for 15 years in Sonora and for two and a half years in Folsom. His passion for his work and patients is something that will always be admired and will leave a lasting impression for many years to come. Although his life ended before we were ready, the time that he spent in our lives was memorable and full of joy.

 


Dr. Freedman Bio

Dr. Eric Freedman.

Native of Toronto, Canada. Completed Bachelor of Science Degree from University of Toronto with High Distinction, where he also graduated from that prestigious Medical School.  After Internship, Residency Training included Surgery at Dalhousie University in Halifax. This was followed by a year of Fellowship Training in Pediatric & Reconstructive Urology, at the Royal University of Liverpool, UK.  Dr. Freedman moved to the USA in 2000 (New York State) after 6 years of Urology practice in Victoria, BC., and finally to Sonora, Ca. in 2004. There he developed a thriving practice (Advanced Urology) for the next 15 yrs., committed to providing high-quality Urological Surgical care for patients from 4 surrounding counties.  He was then invited to join with Dr. Javidan, and Mercy Hospital of Folsom, Ca. to open a new practice in Folsom, in Aug 2020. The Pillars of his practice continue to encompass: SERVICE, COMPASSION, and STATE of the ART care. He has been involved with Third World Missions in East Africa, and Thailand.

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