Leakage of large amounts of urine usually occurs at unexpected times such as while one is sleeping. Overflow incontinence is usually due to loss of bladder muscle tone, not pelvic muscle tone. This type of incontinence occurs in men due to blockage of the urethra mostly as a result of benign prostatic hypertrophy or from prostate cancer. The most common presentation is the loss of small amounts of urine from a full bladder. Testing will depend on the impact that the incontinence is having on quality of life.
Treatment can range from behavioral modification to the use of prescription medications.
Modify Diet and Fluid Intake Avoid foods that might cause worsening of symptoms. This should be done for five minutes three to four times a day. Pelvic floor muscle tone can be improved within a few weeks. This is most effective for stress incontinence. Electrical stimulation of the pelvic floor is a form of Kegel exercise that is administered by a doctor after other types of treatment have failed.