Thursday, January 26, 2012

World-Renowned Penile Implant Expert, Dr. Paul E. Perito Also Treats Men with Urinary Incontinence

According to Dr. Paul E. Perito, although women are more likely to experience urinary incontinence than men, it is still an issue worth addressing. At Perito Urology, Dr. Paul E. Perito has successfully treated urinary incontinence in men for over 20 years.

 Urinary incontinence can affect anyone, in any age group, says Dr. Paul E. Perito. It is a treatable condition which presents itself in three distinct forms:
  • Overflow incontinence is characterized by frequent urination.
  • Stress incontinence presents as pressure is put on the abdomen during functions such as coughing or sneezing.
  • Urge incontinence is an overwhelming urge to urinate, resulting in the involuntary loss of fluid, explains Dr. Paul E. Perito.
There are several causes for urinary incontinence in men, reports Dr. Paul E. Perito. As with any physiological function, the nervous system must work in harmony with the muscles of the body. In the case of men with urinary incontinence, there is an obvious disconnect between the nervous system and the muscular system.

According to Dr. Paul E. Perito, risk factors that involve the nervous system include diabetes, multiple sclerosis, Parkinson’s disease and stroke. Diabetes is known to cause nerve damage, which hinders a man’s ability to control his bladder. Conditions such as a stroke cause direct damage to the nervous system or brain which can create issues controlling the process of urination, says Dr. Paul E. Perito.

Prostate problems, notes Dr. Paul E. Perito, are also a known perpetuator of UI. An enlarged prostate, also known as benign prostatic hyperplasia (BPH), may cause urinary incontinence in men as it squeezes the urethra. Symptoms of BPH include a weakened stream, urinary hesitation, and frequent nighttime urination, says Dr. Paul E. Perito. Men who have undergone a radical prostatectomy for the treatment of prostate cancer present higher instances of urinary incontinence than those who have not. Also, reports Dr. Paul E. Perito, external beam radiation – which is an alternate treatment for prostate cancer – may result in bladder control problems.

Urinary incontinence is diagnosed by first taking a complete medical history of the patient, says Dr. Paul E. Perito. Major illnesses, as well as a general medical history will all be considered prior to making a firm diagnosis. The healthcare professional may request the patient keep a record of their fluid intake and output, called a voiding diary. Additionally, reports Dr. Paul E. Perito, a thorough physical exam will take place which will check for nerve damage or prostate enlargement.

There are many treatment methods available for urinary incontinence, says Dr. Paul E. Perito. Men who do not respond well to behavioral treatments, Kegal exercise regimens, or pharmaceutical intervention may want to consider corrective surgery as an option.

 ***

Dr. Paul E. Perito graduated from the University Of Maryland School Of Medicine in 1988. His Coral Gables, Florida, urology center, Perito Urology, draws patients from around the globe for its innovative and updated Erectile Dysfunction treatments. Having successfully performed over 3,000 penile implants since 2005, Dr. Paul E. Perito is considered a leader in the field. His signature minimally invasive technique, The Perito Approach, has been taught to surgeons worldwide through travel and at Coral Gables Hospital, where he is Director of Urology. Dr. Paul E Perito has participated in countless medical studies in his quest to simplify the penile implant process and make the procedure safer for his patients.

The information contained in this article is provided by Dr. Paul E. Perito for educational purposes only. It is not intended to treat or diagnose any condition.

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