Urinary urgency is the sudden need to urinate, which is difficult to postpone.
Symptoms of Urgent Urination
Often times, urgency is accompanied by urinary leakage (urge incontinence), urinary frequency, nocturia (nighttime frequency), and dysuria (painful urination).
The causes of urinary urgency are many and include neurologic disease, benign prostate enlargement (BPH), prostatitis (infection of the prostate) and prostate cancer, urinary tract infection, overactive bladder, interstitial cystitis, and bladder cancer (rarely).
Evaluation and Treatment
Based on other presenting symptoms, your urologist will make treatment recommendations based on the likely cause of your symptoms. Often, dietary modification (decrease caffeine), fluid restriction and other conservative measures lessen this bothersome condition.
Medications are often prescribed when conservative measures fail and are effective in decreasing urgency and urge incontinence episodes.
Outpatient surgery may be indicated if cases where there is a blockage and medications fail to resolve this condition (benign prostate enlargement/BPH, prostate cancer), or in cases of refractory overactive bladder and interstitial cystitis.