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Functional Disorders of the Lower Urinary Tract in Parkinson’s Disease: A Guide for Male Patients

Parkinson’s disease (PD) is an extrapyramidal neurological disorder primarily recognized for its motor symptoms, such as tremors, rigidity, and bradykinesia. However, non-motor symptoms, including lower urinary tract dysfunction, are increasingly acknowledged as significant contributors to reduced quality of life. Research indicates that 57–83% of PD patients experience urinary storage symptoms, while voiding dysfunction affects 17–27% of individuals. Among these, nocturia is the most prevalent, impacting over 60% of patients, followed by urgency (33–54%) and frequency (16–36%).

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Penile Pressure Ulcers Secondary to Condom and Indwelling Catheters and Prone Positioning

Penile pressure ulcers are painful sores that develop on the penis due to prolonged pressure on the skin and underlying tissues. These ulcers can occur when there is continuous pressure without relief, leading to poor blood circulation and tissue damage. Male patients with spinal cord disorders (SCD) are at a higher risk because they may have limited mobility, leading to unrelieved pressure on sensitive areas.

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Mixed Urinary Incontinence & Dermatological Issues in Male Patients

Mixed urinary incontinence (MUI) is a condition that combines stress incontinence (urine leakage due to physical exertion like coughing, sneezing, or lifting) and urge incontinence (a sudden, uncontrollable need to urinate). MUI is a significant issue in male patients, particularly those with a history of prostate surgery, neurological disorders, or aging-related bladder dysfunction. 

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How Do Doctors Test for Urinary Incontinence in Men?

Urinary incontinence (UI) is a significant health issue affecting men, with prevalence increasing with age. Studies estimate that UI affects 11% of men aged 60–64, rising to 31% in older age groups. The condition stems from mechanisms such as overactive bladder (urge UI) and poor urethral sphincter function (stress UI), leading to variable risk factors and treatment strategies.

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ALS And Urinary Incontinence

Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig's disease, is a progressive neurodegenerative condition that primarily affects the motor neurons in the brain and spinal cord. This leads to a gradual loss of muscle control, resulting in muscle weakness, difficulty with movement, and challenges in speech.

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