Tuesday, September 27, 2022

Male Urinary Frequency And Urgency

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Why Choose New York Urology Specialists For Treatment Of Urinary Retention Caused By Enlarged Prostate

6 Secret Ways to STOP Urinary Urgency FAST | Overactive Bladder 101
  • All treatment is performed by a Board-certified urologist experienced in treating men with symptoms of BPH using medical therapy, minimally invasive therapies, lasers and open surgery.
  • We are one of the few practices in the region to offer a full range of options for treatment of BPH.
  • We offer BPH treatment options under local anesthesia which avoids the risks, costs, and recovery from general anesthesia. Most men are able to return to office work and other normal activities the next day.
  • Extensive Experience: Hundreds of men treated successfully using medical therapy, Urolift, lasers for BPH , Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
  • We treat men with BPH who have heart problems , renal failure on hemodialysis, men on blood thinners such as aspirin, Lovenox, Coumadin , apixaban, rivaroxaban .

When it comes to experience and innovation New York Urology Specialists are a step ahead. Better Science Means Better Care. We specialize in minimally invasive highly effective treatment for symptoms of enlarged prostate and BPH. Many treatment procedures are performed in the convenience and privacy of office settings under local anesthesia.

Medicare and major insurances accepted. We offer .

How Are Urination Problems Diagnosed

Your healthcare provider will ask questions about your symptoms. The provider will check your pelvic area and abdomen for problems that may be causing your symptoms. Tell the provider about any medical conditions you have and the medicines you take. You may need any of the following:

  • Blood and urine tests may be done to look for signs of infection, or blood in your urine. Your blood glucose level may also be tested.
  • An ultrasound may be used to measure the amount of urine in your bladder after you urinate.
  • A cystoscopy may show problems inside your bladder. The cystoscope is a long tube with a lens and a light on the end.
  • Urodynamic testing may show how well your bladder works.

What Are The Causes Of Excessive Urination In Men

The following medical conditions/ disorders are known to cause frequent urination:

  • Prostate disorders: Enlargement of the prostate, BEP and prostate cancer are common prostate diseases. The gland may enlarge from its normal size of 20 g to 150 g. This causes a constriction of the urethra and results in the following urinary symptoms: dribbling of urine, involuntary urination, increased frequency, difficulty in initiating urination, increased urination at night and urinary urgency.
  • An important cause for increased urinary frequency is diabetes mellitus. Frequent urination, increased thirst, increased appetite, blurred vision, weight loss and fatigue are symptoms of diabetes.

Also Check: Why Do I Have Urinary Incontinence

What Is Frequent Urination

Inconvenient and disruptive to your daily life, frequent urination is when you need to urinate many times throughout a 24-hour period. This is a symptom of many different conditions and can have a wide variety of solutions. At some points in your life, like during pregnancy, you may need to pee more frequently. This can be a normal symptom of something like pregnancy and it usually passes after birth. However, frequent urination can be linked to other health issues that arent normal parts of life and dont fade over time. It can be a symptom of more serious conditions like diabetes, overactive bladder syndrome, UTIs or prostate problems. Needing to urinate frequently can even disturb your sleep. That full bladder that keeps waking you up in the middle of an otherwise good nights sleep is a condition called nocturia.

In many cases, your healthcare provider can help relieve this symptom by treating the underlying condition.

Diagnosis And Physical Examination

What is the Most Common Cause for Urge Incontinence?

Patients presenting with pure urinary urgency and frequency symptoms must initially be evaluated by a urologist for a complete workup of their voiding dysfunction, including postvoid residuals and urodynamic testing. Men should have a thorough prostate examination. As with urinary incontinence, a thorough evaluation of patients with urinary frequency and urgency includes a full medical history and physical examination to assess for medical or neurogenic causes. A complete neurologic examination with special attention to the sacral neuronal pathways from S1 to S4 as well as the assessment of perineal sensation, bulbocavernosus reflex, rectal sphincter tone, and ability to contract the anal sphincter should be performed in the presence of any neurologic symptoms. Diagnosis of overactive PFMs can be made during a musculoskeletal pelvic floor examination. Externally, minimal movement of the perineal body when patients are asked to do voluntary PFM contraction or relaxation should lead the examiner to consider a hypertonic state. On the internal assessment, attention is focused on the stiffness and length of the levator ani muscles. Patients are likely to have shortened levator ani muscles that feel weak when tested for strength. These patients often have pain in the PFMs as a result of chronic hypertonicity. Again, minimal movement of the muscles during the internal part of the examination will help to diagnose high tone or overactive PFM dysfunction.

In , 2011

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Sexual Differences In Incidence

In the NOBLE study, the prevalence of OAB was similar in women and men . However, the prevalence of incontinence associated with OAB differed. Among women, 9.3% reported having OAB with incontinence 7.6% reported having OAB without incontinence. In contrast, more men reported having OAB without incontinence than with incontinence . In women, the prevalence of OAB with urgency urinary incontinence increased with increasing body mass index , whereas in men, no difference was found.

Milsom et al, in a population-based survey of 16,776 men and women aged 40 years or older from the general population in Europe, found the overall prevalence of OAB symptoms to be 16.6%. The main outcome measures included the prevalence of urinary frequency , urinary urgency, and urgency incontinence.

Frequency was the most common symptom , followed by urgency and urgency incontinence . The prevalence of OAB increased with age, and rates in men and women were similar. Symptoms of urinary urgency and frequency were similar between both sexes, but urgency incontinence was more prevalent in women than in men.

OAB in men is often related to obstruction therefore, it may be important to differentiate between obstruction and irritative symptoms before the initiation of treatment.

When Is Frequent Urination A Problem

Frequent urination is a problem if it affects your quality of life. And its essential to know the cause so that youll know how it will be treated.

If your symptoms are due to a chronic condition like diabetes insipidus or diabetes mellitus, then you should take medications that lower blood sugar levels.

You should also avoid some foods that increase blood sugar and monitor your intake of fluids.

Frequent urination in men can also be indicative of prostate problems such as an enlarged prostate. Men with this condition often experience an annoying trip to the bathroom every night.

This comes with trouble starting a stream of urine, leaking, or dribbling. Even though an enlarged prostate is a natural by-product of getting older, it still needs to be managed.

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Diagnosing The Cause Of Frequent Urination

If urinary frequency interferes with your lifestyle or is accompanied by other symptoms such as fever, back or side pain, vomiting, chills, increased appetite or thirst, fatigue, bloody or cloudy urine, or a discharge from the penis or vagina, it’s important to see your doctor.

To diagnose the cause of frequent urination, your doctor will perform a physical exam and take a medical history, asking questions such as the following:

  • Are you taking any medications?
  • Are you experiencing other symptoms?
  • Do you have the problem only during the day or also at night?
  • Are you drinking more than usual?
  • Is your urine darker or lighter than usual?
  • Do you drink alcohol or caffeinated beverages?

Depending on the findings of the physical exam and medical history, your doctor may order tests, including:

Blood Tests. Routine blood test can check for kidney function, electrolytes, and blood sugars

Urinalysis. The microscopic examination of urine that also involves a number of tests to detect and measure various compounds that pass through the urine.

Cystometry. A test that measures the pressure inside of the bladder to see how well the bladder is working cystometry is done to determine if a muscle or nerve problem may be causing problems with how well the bladder holds or releases urine. Thereâs a broader term called urodynamics that includes tests such as cystometry, uroflowmetry, urethral pressure and others.

What Are The Risks Of Frequent Urination

Urgency Urinary Incontinence

Frequent urination may be ignored as a harmless condition. However, if you leave it untreated, it may lead to serious complications.

If it comes with fever, abdominal or back pain and bloody urine then it might be linked with urinary tract infections, bladder stones, or kidney damage.

Men who do not treat their enlarged prostates are at risk of experiencing urine retention, which is a medical emergency.

This is a condition where urine is retained in the bladder, and the person is unable to pass it through the urinary tract.

The bladder can possibly tear if it stretches beyond its capacity. With this, urine gets back up into the upper urinary tract, causing a kidney infection, damage, and failure.

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What You Need To Know

Men begin noticing going to the bathroom more often and feel incomplete bladder emptying when they have urinary urgency. Its normal to void between 4-6 times throughout the day and once during the night. However this can rise much beyond this amount, especially becoming bothering when there is an increased number of nightly voids. There are a number of factors that contribute to daily fluctuations in urinary output that need to be considered. This includes fluid intake and timing, dietary intake, medications and ambient temperature.

The causes for developing urinary urgency and incomplete bladder emptying usually involve abnormalities of either the prostate or bladder . Common conditions that may reflect these symptoms include benign prostatic hyperplasia , an overactive bladder or treatments for tumours within the bladder or prostate. However, there are numerous conditions that result in similar complaints.Additional symptoms can involve experiencing a delay before urinating, straining or having a weak stream, and reduced control causing leakage.

What Does Frequent Urination Mean

Frequent urination is a condition where men or women pass urine more often than usual.

Some people who experience this feel a sudden, compelling urge to urinate.

At times, it comes along with bladder discomfort. It may also result from an overactive bladder. For men and women, if you go more than eight times in 24 hours to urinate, then you are experiencing frequent urination.

Frequent urination is not the same as incontinence. That has to do with the involuntary leakage of urine.

Simply put, this occurs when a person urinates when they do not want to. It has something to do with control over the urinary sphincter, which is either absent or impaired.

Frequent urination can be divided into two types. The first type is linked to an increase in the total volume of urine .

The second one involves problems with the storage and emptying of the urine. If frequent urination happens for men or women at night, it is referred to as nocturia.

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Problems With Enlarged Prostate Gland

Benign enlargement of the prostate gland is more common as men get older. It can cause troublesome symptoms, although it doesnt always.

The urethra passes through the prostate gland, so men may have problems urinating if the enlarged gland restricts the flow of urine. If the flow stops completely, a catheter is required to empty the bladder. It is rare for this form of acute urinary retention to cause kidney damage.

An enlarged prostate doesn’t always cause urinary problems. Studies indicate that the size of a man’s prostate gland has little influence on the type or severity of his urination problems. BPH is just one possible cause of urinary symptoms.

Another cause of urinary symptoms can be changes to the muscular wall of the bladder, which may cause spasms of the bladder or weaken the bladder, causing problems passing urine.

How Can Prostate Conditions Lead To Incontinence

Home Remedies for Urinary Incontinence
  • Partial blockage of the urethra by the prostate:
  • As the urethra narrows, the bladder has to contract more forcefully to push urine out the urethra.
  • Overtime, the increased effort required to empty the bladder makes the bladder muscles grow stronger and more sensitive. The bladder begins to contract even when it contains only a small amount of urine, creating the need to urinate more frequently and urgently. Sometimes urine leaks before you have time to get to the toilet .
  • The narrowed urethra may also prevent the bladder from emptying completely when you urinate, which can cause a build up of urine and lead to leakage between trips to the toilet . This requires medical attention.
  • Nerve and muscle damage:
  • surgery for prostate problems can sometimes damage the muscles and nerves of the sphincter resulting in short- or long-term incontinence
  • the potential for damage depends on the extent of the surgery.
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    Other Causes Of Oab In Men

    An enlarged prostate is the cause of OAB in most men, but there are numerous other factors that can lead to symptoms. An infection in the bladder, bladder stones, or bladder cancer can all cause OAB. Neurological conditions, such as a stroke or Parkinsons disease, can also lead to OAB because of nerve damage that results in sending incorrect signals to the bladder.

    Its also possible for temporary factors to cause symptoms of OAB. If you drink a lot of fluids, especially those that are caffeinated or contain alcohol, if you take medications that increase urine output, or if you are constipated, you might experience an increased need to urinate.

    Constant Need To Urinate And Good Urine Stream

    In men who have a good urine stream but have frequent urge to urinate, the urethral stricture is unlikely to be present. If the problem started acutely and there is burning with urination, there is a good chance that symptoms are caused by UTI or sexually transmitted disease . Testing for a urine infection and sexually transmitted diseases would be the first step. Sometimes UTI may be present but another cause such as urethral stricture, enlarged prostate, bladder stones or incomplete bladder emptying may be present as well.

    If the problem with constant urination is chronic and a good stream is present, most likely it is attributable to an overactive bladder or large prostate. Bladder ultrasound with postvoid residual of urine as well as uroflowmetry would help determine the cause of symptoms. Cystoscopy and urodynamic testing would help confirm the diagnosis.

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    Inflammation Of The Prostate Gland

    Bacteria sometimes cause prostatitis . More commonly, the underlying cause is uncertain. Consult your doctor promptly if you experience:

    • fever
    • pain in the groin
    • urgent and frequent urination.

    Treatment with antibiotics is essential for acute bacterial prostatitis. Admission to hospital is often necessary and, as with chronic bacterial prostatitis, specific antibacterial drugs are required for a long time.

    How To Stop Frequent Urination Naturally

    Urinary Frequency, Causes, Signs and Symptoms, Diagnosis and Treatment.

    Frequent urination can easily translate into a habit. It is, however, possible to effectively control the urgency through some natural measures, such as:

    • Monitoring fluid intake: You can prevent increased frequent urination by carefully monitoring the intake of fluids throughout the day. You should make sure to not drink excessive fluids while maintaining a state of hydration.
    • Limit alcohol & caffeine: Caffeinated beverages can irritate your bladder and lead to an increased urge to urinate.
    • Eat high-fibre foods: Foods rich in fibre content are known to help prevent constipation and improve the passing of urine.

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    Who Experiences Frequent Urination

    The need to urinate is something that everyone feels. This shared experience isnt always consistent though. Sometimes you may need to urinate much more often than what is typical for you. This can happen to anyone. Men, women, and children can all have this symptom. However, its more common at certain times in your life or when you have other conditions. Youre more likely to frequently urinate if youre:

    • A middle-age or old adult.
    • Pregnant.

    How Can Prostate Problems Affect The Bladder

    A man with a prostate problem may have any one, or a combination of these symptoms:

    • difficulty starting the flow of urine
    • slow urine stream once urination has started
    • the need to urinate more often than usual during the day
    • having to wake during the night to urinate multiple times
    • dribbling either after urinating, or between visits to the toilet
    • feeling the urgent need to urinate
    • sensation that emptying is not complete.
    • having to urinate again within a short time of having just urinated.

    Get the following symptoms checked out straightaway:

    • burning, discomfort or pain while passing urine
    • blood-stained urine
    • pain or discomfort in lower abdomen.

    These could be due to infection or other cause needing treatment.

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    Overactive Bladder In Men At A Glance

    • Overactive bladder is the result of malfunctioning bladder muscles and nerves that send sensations to the brain, causing involuntary and unnecessary contraction of the bladder muscles.
    • The primary symptom of OAB is a sudden, uncontrollable urge to urinate, often resulting in leakage of urine, which is incontinence.
    • OAB, also called urge incontinence, affects up to 30 percent of males, preventing them from controlling when and how much they urinate.
    • Nearly two-thirds of cases of OAB in men are caused by an enlarged prostate.

    Three Common Urinary Problems In Men And What You Can Do About Them

    Male urinary incontinence poster

    As you age you may notice changes in your urination. Perhaps you have noticed that you have difficulty starting or stopping the flow, or maybe the flow is weaker and slower than before. In addition to problems with flow, you might notice that you dont always empty your bladder completely and you always feel like you have to go. Or, perhaps you have just noticed that you are going to the bathroom more often, especially at night.

    While many of these problems can be attributed to aging, there may be other issues besides aging that could be causing three of the most common urinary problems that occur in men, and many are treatable.

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