Urology Blog


14Feb

Urinary Urgency in Men

14 Feb, 2024 |

Urinary urgency is a common yet often misunderstood condition in men, characterized by a sudden and compelling need to urinate that can be both uncomfortable and disruptive. This condition extends beyond mere inconvenience, frequently accompanied by other symptoms such as increased frequency of urination, nocturnal disruptions, and in some cases, urinary incontinence.

Understanding the causes, which range from bladder irritants to prostate issues and neurological factors, is essential for effective management. This guide provides an in-depth look into urinary urgency, exploring its nature, the available treatment options available with Boise urologist Dr. Slade, and the potential for resolution, with a focus on empowering men to take proactive steps towards improving their urinary health.

What is Urinary Urgency?

Urinary urgency is identified by a sudden, intense need to urinate, often accompanied by a feeling of pressure or discomfort in the bladder area. This condition is not just about the frequency of urination; it's about the abrupt and compelling sensation that urination is imminent and unavoidable. It can be linked to a variety of urinary symptoms in men, including an increased need to urinate both during the day and night (Nocturia), and in some instances, it leads to urinary incontinence.

The causes of urinary urgency in men are diverse, ranging from common bladder irritants like caffeine and alcohol to more complex issues such as an enlarged prostate (BPH), urinary tract infections, idiopathic urgency, or neurological conditions.

Using the public bathroom for urinary urgency

How Can I Treat Urinary Urgency?

Treating urinary urgency effectively often involves a combination of lifestyle changes and medical interventions. Key lifestyle modifications suggested by Dr. Slade can include reducing the intake of known bladder irritants such as caffeine, spicy foods, and alcohol, alongside practicing bladder training techniques and establishing regular bathroom schedules to improve bladder control.

In addition, there are prescription medications available that work to relax the bladder muscles or decrease bladder overactivity. Pelvic floor muscle exercises are also beneficial to strengthen the muscles involved in bladder control, reducing the frequency and intensity of urgency episodes. Sometimes, pelvic muscles may need physical therapy to relax tension that may be interfering with urination and mimicking symptoms of an enlarged prostate.

For urinary urgency linked to BPH, specific treatments targeting prostate health, like ReZūm Water Vapor Therapy and HoLEP, have shown considerable effectiveness in alleviating symptoms, offering an integrated approach to managing this condition. These procedures can last a near-lifetime with almost no patients needing to have it re-done. Patients can also stop all BPH medications after getting these minimally-invasive surgeries.

Can Urinary Urgency Be Resolved Completely?

The resolution of urinary urgency largely hinges on the underlying cause and the timeliness of treatment. With the right approach by Dr. Slade, many men experience a significant reduction or even complete elimination of BPH symptoms. Treatments like ReZūm Water Vapor Therapy have shown effectiveness in alleviating BPH-related urinary urgency while preserving sexual function (a common side-effect of BPH medications). Similarly, HoLEP is a proven method for treating BPH without the need for long-term medication or repeated surgeries.

Discomfort from urinary urgency

Contact Boise Urologist Dr. Slade for Urinary Urgency Treatment in Boise

If you're living with the effects of urinary urgency and want to stop medications now, consider the HoLEP with Moses Laser procedure. As the only endourologist in Idaho with fellowship training under the esteemed James Lingeman, Marcelino Rivera, and Tim Large, Dr. Slade brings unparalleled expertise and patient care. Contact Dr. Slade today to schedule an appointment and take the first step towards improved urological health.

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