Definition

Urgency that is difficult to postpone, with or without leakage, after considering other causes.

Symptoms

Frequent toilet visits, sudden urges, night-time urination and sometimes leakage before reaching a toilet.

How it may be discovered

Affects women and men, with or without another urinary condition.

When to seek care

Consult when urgency limits activities. Burning, bleeding or fever needs specific assessment.

Investigations and tests

Bladder diary, examination, urine testing and residual measurement when indicated; urodynamics for selected cases.

Reaching a diagnosis

Diagnosis is clinical after excluding causes such as infection. Symptoms do not necessarily mean abnormal contractions on testing.

Treatment options

Habit changes, bladder training, medication and selected botulinum toxin or neuromodulation treatments.

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