People with incontinence can manage accidental urination by using a number of different options.

Absorbent Products

Absorbent pads, diapers and garments can help individuals to deal with bladder control problems. However, absorbent products should not be employed for long-term bladder control unless a physician has evaluated the patient's incontinence. In particular, early reliance on absorbent pads may be a stumbling block for bladder control. The wearer may develop a sense of security and acceptance of the condition, which could lessen the desire to seek adequate diagnosis and treatment.

Internal Collection Devices

An internal collection device, such as a catheter (a hollow plastic tube), may be recommended for certain individuals to ensure that the bladder is emptied on a regular schedule and does not overfill. Intermittent catheterization (the periodic insertion of a catheter into the urethra and into the bladder) is performed at regular intervals each day (usually every three to six hours).

External Devices

External collection devices, such as external catheters, are urine storage products that may be useful for short-term incontinence treatment in men. They are attached to the shaft of the penis by adhesive, latex or foam strap devices, and a tube to a urine-collecting bag connects them.

For men, external occluding (closing) devices can be used to block the flow of urine by squeezing the urethra shut or plugging the urethra. Mechanical devices include penile clamps (e.g., the Cunningham clamp) and compression rings. The penile clamp is a V-shaped casing with a foam cushion that fits over and under the penis. When closed, the penile clamp should stop the flow of urine without causing discomfort. Compression devices are adjustable rings that surround the penis and, when inflated with air, pinch off the urine flow. Improper use of penile clamps and compression rings can result in penile and urethral erosion, penile edema (swelling), pain and obstruction.

Biofeedback/Electrical Stimulation

Biofeedback/Electrical Stimulation is practiced to help people gain awareness and control of their urinary tract muscles. The principle of biofeedback is simple: a variety of instruments are used to record small electrical signals that are given off when specific muscles are squeezed to urinate. These muscle squeezings are then converted into audio (hearing) and/or visual (hearing) signs that patients can recognize and learn in order to control muscular activity. With biofeedback, weak muscles can be better activated on demand, overly tense muscles can be relaxed and overall muscle activity can be coordinated.

Surgical Options