Urgent urge to urinate – causes, diagnosis and treatment

Disruption of the genitourinary organs entails a number of serious consequences that create discomfort and pain for the patient. The process of damage to the urethra has its own reasons and, accordingly, affects not only the work of the above-mentioned organs, but also the healthy work of the whole body system in principle.

What is this?

Urgent urge to urinate is a sudden urge to urinate, which cannot be controlled, which ultimately leads to involuntary emptying of the bladder.

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Urgent urge to urinate is a fairly common disease of the bladder and in other words is called urgency.

Seizures of this kind can manifest themselves even after a person has already gone to the toilet. Thinking about urinary incontinence completely enslaves the patient to the point that he is unable to think about anything else. Each time, the frequency of going to the toilet to empty the bladder increases, so treatment should be timely and prompt.


Urgent urge to urinate can be caused by many reasons. It is necessary to calculate them in a timely manner, as this will help determine the method of treatment and prevent a relapse of the disease in the future.

By its nature, urgency is an accompanying disease in the human body and manifests itself as a result of the following ailments:

  • Displacement (exstrophy) of the bladder.
  • Ectopia of the ureter.
  • Various kinds of dysfunction of the genitourinary system.
  • Pathological development of the urogenital canals.
  • Diseases of an infectious nature (urethritis, cystitis, etc.)
  • Pathological development in the lumbosacral spine.
  • Spinal cord disease.
  • Prostatitis in men.
  • OAB.

There are also a number of side reasons such as:

  • Infections.
  • Oncology.
  • Disruption of the nervous system.
  • Subcooling.
  • Diabetes.
  • Heart failure.
  • Changes in hormonal levels.
  • Low immunity.

There are a lot of reasons for the emergence of an imperative urge to urinate, and the worst thing is that many of them are diseases already existing in the human body that were not eliminated in time. In fact, urgency is the result of untreated developing diseases.


The main symptomatology of urgency is the inability to contain the need, which arises more often and uncontrollably. In general, it is possible to designate such symptoms with an urgent urge to urinate, such as:

  • Burning and stinging during urination.
  • Painful sensations when emptying.
  • During the day, urine is excreted in drops.
  • Incredible need to empty the bladder.
  • Not feeling relieved after going to the bathroom.
  • Urination can be triggered by sneezing, coughing, or exercise.
  • Nervousness, irritation, apathy towards others.
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Very often, urgency may not have obvious indicators in the analysis of urine, that is, the color, smell and structure, in general, remain normal.

However, the incredible discomfort during the imperative urge to urinate creates unbearable conditions for the patient’s existence and life. That is why, if any of the listed manifestations of the disease is detected, it is necessary, without wasting time, to contact a specialist who will correctly diagnose and, accordingly, prescribe the necessary therapy.


Suspicion of an urgent urge to urinate is checked at the very beginning by taking a general analysis of blood and urine. Further, the attending physician examines the patient himself and examines his medical record to identify compelling reasons that could become provocateurs of excessive activity of the bladder. It can be both chronic stage diseases and surgery.

In addition, a number of analyzes of the patient’s examinations are carried out, which will help establish what exactly became the reason for the imperative urge to urinate, and at what stage the disease has already developed:

  • The urine sediment is examined.
  • The culture is analyzed for sterility.
  • Ultrasound examination of the kidneys.
  • Ultrasound examination of the bladder.
  • Ultrasound examination of the prostate (in a man)
  • Palpation of the urinary system.
  • Cystometry (measurement of the volume of the bladder itself, mainly in women).

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    A qualified specialist will establish the cause of the urgency, since, as previously indicated, the urge to urinate does not arise by itself. Often, they talk about a more serious and problematic disease in the human body, on the treatment of which the immediate elimination of urgency will depend.


    After a complete diagnosis has been made and a diagnosis of urgency has been made, the doctor selects the necessary therapy method, directly depending on the very cause of the disease.

    Basically, the specialist is guided by the principle that assumes initially to eliminate the underlying disease, which triggered the development of an urgent urge to urinate, and then its consequences.

    Urgency therapy is based on the following principles: drug treatment and non-drug treatment. Regarding drug treatment, the attending physician prescribes drugs such as:

    • Regulators of muscle tone in the urinary tract, the so-called antispasmodics.
    • Blockers of impulses of the nervous system related to the urinary tract, called anticholinergics.
    • Improvers of the muscle tone of the sphincter of the bladder, called andrinomimetics.
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    As for anticholinergics, it is necessary to be as careful with them as possible, since they act directly on the nervous system and, if used incorrectly, can carry complications and negative consequences for the patient. They should only be prescribed by a qualified specialist and only after a complete examination.

    Also, in the case of an advanced stage of this disease, in which drug treatment becomes ineffective, the doctor may prescribe an operation.

    Non-drug therapy involves such types of struggle with the urge to urinate, such as:

    • Traditional medicine (tinctures from plants: dill, sage, etc.)
    • Special diet (exclusion from the diet of foods and beverages with diuretic properties, as well as avoiding alcohol and smoking)
    • Kegel exercises (strengthening the pubococcygeal muscle, which is responsible for organizing and controlling urination)
    • Pessary (a special device that restrains urine during exertion and while walking).

    Imperative urge to urinate is a difficult problem that affects all spheres of human life, this disease signals the patient about a serious health condition of his body and requires prompt diagnosis in order to determine the cause and begin timely treatment.

    In no case should you postpone the visit to the doctor if visible symptoms of the disease are found, since ignoring the urgency can have serious consequences, which will be very difficult to eliminate.

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    Tatyana Jakowenko

    Editor-in-chief of the Detonic online magazine, cardiologist Yakovenko-Plahotnaya Tatyana. Author of more than 950 scientific articles, including in foreign medical journals. He has been working as a cardiologist in a clinical hospital for over 12 years. He owns modern methods of diagnosis and treatment of cardiovascular diseases and implements them in his professional activities. For example, it uses methods of resuscitation of the heart, decoding of ECG, functional tests, cyclic ergometry and knows echocardiography very well.

    For 10 years, she has been an active participant in numerous medical symposia and workshops for doctors - families, therapists and cardiologists. He has many publications on a healthy lifestyle, diagnosis and treatment of heart and vascular diseases.

    He regularly monitors new publications of European and American cardiology journals, writes scientific articles, prepares reports at scientific conferences and participates in European cardiology congresses.