WHEN BPH NEEDS TO BE TREATED: AN UNSTABLE BLADDER
An Unstable Bladder, with urge incontinence. From half to as many as 80 percent of men with BPH eventually develop bladder instability, producing the irritative symptoms caused by an embattled, strained bladder. In most cases, these go away with surgical relief of the obstruction—again, the results depend on how much of a burden the bladder has borne, and for how long. These symptoms include increasingly frequent or urgent urination, particularly during the night, and most significantly, urge incontinence—a real warning sign that the bladder is in trouble. If this is not treated (by easing the obstruction), it may reach a point where the damage is irreversible and this incontinence is permanent. Or, if a man delays treatment for too long and then has surgical treatment, this urge incontinence can actually get worse—because the obstruction has been relieved, now there’s even less tissue to hold back these uninhibited contractions when they occur.
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