As we said before, simply getting old can be reason enough for loss of bladder control. Your muscles, including the ones that make up your bladder, can weaken and lose their tone as you get older, leading to some pee slipping out every now and then. 

Certain underlying diseases that damage your nerves and disrupt signaling between your bladder and brain can also lead to men not being able to hold in their pee — such as multiple sclerosis, Alzheimer’s disease, stroke, diabetes, Parkinson’s disease, brain tumor, or spinal injury. Obesity, lack of exercise, persistent coughing fits due to allergies or other illnesses, and even simpler things like urinary tract infections or constipation can cause someone to lose bladder control, too.

It is important to understand that certain medications like over-the-counter diuretics, cold medicines, antidepressants, sedatives, and opioids can also exacerbate issues of not being able to hold in your pee. So can drinking alcohol and caffeine; consuming spicy, sugary, or acidic food; and drinking carbonated beverages. 

Coming back to prostate-related reasons for incontinence, while there are natural ways men can boost their prostate health as they age, like maintaining a healthy weight, eating a healthy diet, getting regular exercise, managing stress, and not smoking, sometimes, you may have to work together with your healthcare provider to find relief from the symptoms.