Bladder urgency is a symptom that can be alarming and cause great discomfort in those who experience it. In this article, we will explore in detail what bladder urgency is, its possible causes and the diseases with which it is commonly associated.

What is bladder urgency? ?

Bladder urgency is a persistent and uncomfortable feeling of having to urinate, even when the bladder is empty or recently emptied. This sensation may be accompanied by pain, discomfort, and an inability to completely empty the bladder, which may result in frequent and urgent urination.

Common Symptoms of Urinary Tenesmus

In addition to feeling of urgency to urinate, urinary urgency may present other symptoms, including:

  • Pelvic pain or pain in the lower abdominal region.
  • Sensation of pressure in the pelvic area .
  • Difficulty starting or ending urination.
  • Frequent urination in small amounts.
  • Discomfort when urinating.

Causes of Bladder Tenesmus

Bladder urgency can be caused by a variety of underlying medical conditions that affect the bladder and urinary system. Some of the most common causes of urinary urgency include:

Urinary Tract Infections (UTI)

Urinary tract infections, especially cystitis, can irritate the bladder and cause urinary urgency. . Symptoms of a UTI include frequent urination, pain when urinating, and a burning sensation when urinating.

Prostatitis

Prostatitis, an inflammation of the prostate gland in men, can also be a cause of bladder urgency. In addition to the feeling of urinary urgency, prostatitis can cause pain in the pelvic area and difficulty urinating.

Overactive Bladder

Overactive bladder is a disorder in which the bladder becomes It contracts involuntarily, causing a sudden and frequent urge to urinate. This condition may be associated with urinary urgency due to the feeling of discomfort and the constant need to urinate.

Urinary Tract Obstruction

Obstructions in the urinary tract, either due to Kidney stones, tumors or other causes can interfere with the normal flow of urine and cause urinary urgency. The pressure built up in the bladder due to obstruction can cause a feeling of constant urgency to urinate.

Diseases Associated with Bladder Tenesmus

Bladder urgency can be associated with several diseases and conditions Medical conditions that affect the urinary system and bladder. Some of the most common diseases with which bladder urgency is associated include the following:

Interstitial Cystitis

Interstitial cystitis is a chronic disease of the bladder that causes chronic pelvic pain, frequent and urgent urination, and urinary urgency. This condition can have a significant impact on the quality of life of those who suffer from it, as the symptoms can be debilitating.

Bladder Cancer

Bladder cancer is a type of cancer that develops in the inner lining of the urinary bladder. Bladder urgency can be an early symptom of bladder cancer, especially when accompanied by blood in the urine and persistent pelvic pain.

Prostate Problems

Prostate problems , such as benign prostatic hyperplasia (BPH) and prostate cancer, can cause urinary urgency due to their impact on the urinary system. Compression of the urethra by an enlarged prostate can cause difficulty urinating and a feeling of discomfort when urinating.

Neurological Diseases

Neurological diseases, such as multiple sclerosis, stroke, or Spinal cord injuries can affect the ability to control the bladder and cause urinary urgency. Neurological dysfunction can interfere with proper signaling between the brain and the bladder, resulting in urinary symptoms such as tenesmus.

Diagnosis and Treatment

In the presence of urinary urgency or other symptoms urinary tract, it is essential to seek medical attention to receive an accurate diagnosis and appropriate treatment. Diagnosis of urinary urgency usually involves a complete medical evaluation, which may include:

  • Detailed medical history.
  • Physical examination, including review of symptoms.
  • Laboratory tests, such as urine tests to check for infections.
  • Imaging studies, such as ultrasound or MRI.
  • Cystoscopy, a procedure to view the inside of the bladder

Treatment of bladder urgency will depend on the underlying cause. Some treatment options include:

Medicines

To treat urinary tract infections or reduce bladder irritation, antibiotics or anti-inflammatory medications may be prescribed. Medications to control overactive bladder may also be helpful in relieving urinary urgency and frequency.

Physical Therapies

Some conditions, such as interstitial cystitis, may benefit from physical therapies such as bladder training, electrical stimulation and pelvic floor exercises to improve bladder function and relieve urinary symptoms.

Surgical Interventions

In cases of urinary tract obstructions or prostate problems that cause urinary urgency, it may be necessary to resort to surgical interventions to restore normal urine flow. Surgery may be recommended to remove tumors, kidney stones or other obstructions.

Psychological Therapies

For those patients with bladder urgency associated with emotional or stress factors, cognitive-behavioral therapy or other psychological therapies may be beneficial in addressing the psychological aspects that contribute to urinary symptoms.

Conclusions

In summary, urinary urgency is a urinary symptom that may be associated with various medical conditions, from urinary tract infections to neurological diseases. It is important to address symptoms of urgency in a timely manner to receive an accurate diagnosis and appropriate treatment that targets the underlying cause. If you experience urinary urgency or other persistent urinary symptoms, do not hesitate to consult a health professional to obtain the necessary care.