Thursday, 27 July 2017
Editor Choice Urinary Tract Infection

Urinary urgency (Causes And Treatment)

Urinary urgency (Causes And Treatment)

 

Urinary urgency is an immediate unstoppable insistence (urge) to urinate. This occurs due to involuntary contraction of the urinary bladder muscle.

Urinary urgency in many cases is accompanied by frequent urination, so the two symptoms in many times are confused with each other.

 

Causes of urinary urgency

 

Clinical condition:

 

1- Urinary Tract Infection (UTI)

 

The most common cause of urinary urgency, UTI means inflammation of any part of the urinary tract, Bacteria is responsible for the vast majority of UTIs, Fungi or viruses can also cause UTIs.

The National Kidney & Urologic Diseases Information Clearinghouse reports that UTIs account for over 8 million doctor visits annually. Know more about urinary tract infection

 

2- Urge Incontinence

 

It is not a disease but it is a symptom of medical or physical problems, Urge incontinence occurs when you have a sudden urgent desire to urinate.

Urge incontinence occurs due to involuntary contraction of the urinary bladder muscle. Women and older adults are at a higher risk of developing urge incontinence.

 

3- Menopause

 

It is a natural biological condition that occurs in every woman’s life. It means the permanent end of monthly periods (menstruation) and fertility. This means she is no longer able to have children.
During menopause, a woman’s ovaries stop making eggs and her body produces less amounts of estrogen and progesterone. It is confirmed when a woman has no period for 12 months in a row.
** The relation between menopause & urinary urgency:

 

Menopause is accompanied by changes in a woman’s urinary function, this is primarily due to urogenital atrophy .
These urinary changes occur for two reasons:

  1. Menopause reduces the amount of estrogen which in turn leads to lack of the urinary tract’s ability to control urination.
  2. Advanced age which usually accompany menopause also has various debilitating effects on the pelvic area organs and tissues.

 

4- Kidney stones

 

One of the most painful medical conditions. Kidney stones usually originate in the kidneys, but it can also develop anywhere along your urinary tract.

 

5- Overactive bladder

 

Overactive bladder affects men and women of all ages, most people with this condition are under age 65. Overactive bladder occurs when the detrusor  muscle ( large muscle in urinary bladder) contracts more often than normal. This causes a person to feel a sudden urge to urinate even when the bladder isn’t full.

 

6- Urethritis

 

Condition in which the urethra which carries urine from the bladder to outside the body  becomes inflamed. Urethritis  is usually caused by bacterial infection, it typically causes pain while urinating and an increased urge to urinate.

 

7- Other causes

 

  • Bladder neck obstruction
  • Neurogenic bladder
  • Prostatitis
  • Urethral stricture
  • Bladder cancer
  • Hydronephrosis
  • Autonomic nephropathy
  • Ovarian cancer
  • Benign prostatic hyperplasia (BPH)

 

Medications

 

1- Alpha-adrenergic antagonists or alpha blockers:

 

These high blood pressure drugs including Cardura, Minipress, and Hytrin work by dilating blood vessels to reduce blood pressure.

They are often prescribed to men to help treatment of urination problems In men with an enlarged prostate, they act by relaxation of the muscles in the bladder neck, making urine flow more easily .

In women, alpha blockers can also relax the bladder. So women taking an alpha blocker experiencing urinary incontinence should also ask their doctor for an alternative medication available to treat their hypertension.

 

2- Antidepressants:

 

If you think your antidepressant is worsening your incontinence, talk to your doctor about an alternative medication.

 

3- Diuretics:

 

It is Commonly called “water pills”. Diuretics work in the kidney to reduce blood pressure by flushing excess water and salt out of your body.

 

4- Sleeping pills:

 

Sleeping pills can make urinary incontinence worse, because people don’t wake up [when their bladder is full].

 

Treatment of urinary urgency

 

Medicines for urinary urgency are used to decrease the urine leakage.

 

1- Anticholinergics

** How they work:
Anticholinergic drugs block the action of acetylcholine that sends signals to your brain that trigger abnormal bladder contractions associated with OAB.

 

2- Mirabegron (Myrbetriq)

 

Mirabegron is approved to treat certain types of urinary incontinence. It relaxes the bladder muscle and increase the amount of urine your bladder can hold.

 

3- Botox

 

  • It may benefit people who have an overactive bladder.
  • It can block the actions of acetylcholine and paralyze the bladder muscle.
  • It may be helpful for people who haven’t responded to other medications.

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