The prevalence of urinary incontinence in men is approximately half that of women. Although men may experience significant emotional and social impact on quality of life, incontinent men are half as likely as women to seek care for urinary incontinence.
Men who have risk factors for urinary incontinence (advanced age, prostate disease, history of urinary tract infections, physical limitations, neurologic disease, constipation, depression, or diabetes) should be asked if they have had episodes of incontinence.
A history, physical examination, and urinalysis are sufficient to guide initial therapy. Men with "complicated" urinary incontinence should be referred to an urologist. Complicated urinary incontinence includes those with prior pelvic radiation or surgery, pelvic pain, severe incontinence symptoms, severe lower urinary tract symptoms, recurrent urologic infections, neurologic disease, abnormal prostate examination, hematuria, or elevated prostate specific antigen.