this caseMandatory urges: what it is, the causes of the disease
Explanation of the term "imperative urges" and their causes in women and men. Symptoms of the disease, diagnostic methods and treatment.

Causes and symptoms of urgency in men and women, treatment methods

In the absence of control over the functions of your body, imperative or urgent urges arise, denoting that “by an effort of will it is impossible to hold back any process, in this case there is a strong desire to urinate.”

Urges may be sudden and irresistible. That is why, get rid of this symptom should be as soon as possible. Involuntary urination significantly reduces the quality of life, forcing a person to restrict social contacts and avoid crowded places.

The content of the article

  • What is the imperative urge
  • The reasons
    • Among women
    • In men
  • How do
  • Diagnostics
  • Treatment
    • Medicaments
    • Surgical
    • Psychotherapy
    • Exercises
    • Folk methods
  • Prevention
  • Video

What is the imperative urge

In medical reference books, strong urging to the toilet is described as “urgent”. This term is used in cases of emergency, when a person is unable to restrain the release of urine, and the process occurs independently.

Urgent urges are not stressful incontinence. During lifting, when coughing, laughing, i.e., an increase in intra-abdominal pressure, urine is released involuntarily. In this case, doctors diagnose “stress incontinence.”

At urging, there is a need to immediately empty the bladder, even if it is filled slightly.

The reasons

In a healthy person, urination occurs up to 6 times a day, at night it is very rare. The main cause of urgency is hyperactivity of the bladder (GMF). The origin of this state is not fully understood, it is only known that the GMF may be chronic.

Hyperactivity provoke:

  • diseases of the genitourinary system (urethritis, cystitis);
  • heart failure;
  • ectopia of the ureter and exstrophy of the bladder;
  • genital infections;
  • neurological conditions and disorders of the central nervous system;
  • diabetes;
  • taking medicines;
  • brain injury;
  • age-related changes;
  • multiple sclerosis.

Among women

According to statistics, urgent urges in women occur more often than in men. This may occur due to the disruption of the development of the genital organs, which is especially characteristic of the fair sex.

This condition may be caused by:

  • menopause;
  • menopause;
  • chronic inflammation of the bladder;
  • pregnancy multiple fruits;
  • childbirth with complications;
  • this case

  • pelvic surgery;
  • removal of the uterus;
  • obesity.

In men

Spontaneous allocation of urine in men is found less frequently, due to the structure of the organs of the urinary system.

Causes of urgency in men:

  • urinary tract infection;
  • prostate tumors;
  • surgery on the prostate gland;
  • benign prostatic hyperplasia (adenoma).

How do

Knowledge of the symptoms of urgency will make it possible to distinguish this condition from nervous incontinence.

Manifestations of urgent urges:

  • urinating more than 8 times in 24 hours;
  • irresistible desire;
  • copious amounts of urine;
  • trips to the toilet at night.

If you stop drinking a lot of fluid, then the urge will not go anywhere. They will occur every 2 hours at any time: day or night time.


Diagnostic methods will help to fully differentiate this ailment from similar ones. You should contact your urologist or gynecologist. The doctor will examine, listen to the complaints of the patient. It is mandatory for the doctor to examine the medical card to identify surgeries, chronic pathologies and other conditions that could cause the GMF.

Inspection is carried out by palpation, determine the location of the bodies, whether their sizes are increased, the degree of tension, the presence of pathological changes. Men are given a digital rectal examination and women are given a gynecological examination.

The primary stage of diagnosis also implies:

  • urine sediment analysis;
  • seeding on sterility;
  • Ultrasound of the bladder, kidneys and prostate gland (if the patient is male).

Transabdominal examination allows to determine the ability of an organ to empty. UDI (complex of urodynamic studies) for men and women separately will help to identify pathology.

this case

To exclude stress incontinence, the doctor sends the patient for consultation with a neuropathologist. The specialist assesses the work of the nerves that are associated with the anadrol steroid, oxymetholone urinary tract (nerve endings of the sacral and lumbar segments).

Often, patients are offered to keep a diary so that the doctor can create a complete clinical picture. A diagnosis called “hyperactivity of the bladder” is made if a person goes to the toilet 8 times a day and another 1 at night.


Getting rid of the syndrome of the GMF and urgenity occurs using the following treatment methods:

  • medication;
  • surgical;
  • psychotherapeutic.

Special exercises and traditional methods of treatment are effective.


If the diagnosis is confirmed, the doctor may prescribe adrenergic drugs that increase the muscle tone of the urethral sphincter:

  • Detruzitol;
  • Vesicare
  • Spasmex.

In case of involuntary urination caused by neurogenic reasons, anticholinergics are prescribed that inhibit the urethra M-cholinergic receptors. These drugs are considered the most effective in the treatment of urgency.

The most recommended drugs are:

  • Darfenacin;
  • Tolterodine;
  • Solifenacin;
  • Trospium;
  • Propiverin
  • Oxybutynin.

Before taking medicines, you should consult with your doctor. The dosage of each medication is indicated in the instructions for use.


If the medications do not help, then the doctor may order surgery.

Types of operations for urgency:

  • implantation of a radiofrequency generator stimulation of the walls of the urea;
  • surgery for herniated intervertebral discs or spinal injuries;
  • removal of meningiomas, etc.


This method of treatment implies psychocorrection, provided that the cause of the pathology is hidden in psychosomatics. Reception of the patient is carried out by the psychotherapist.

An example of therapeutic methods:

  • reduction of anxiety;
  • giving meaning to treatment;
  • distraction of a person’s attention from obsession with the process.

Treatment of imperative urination also implies a change in behavioral factors. For example, a patient has a “ritual”, like going to the toilet before going out. In this case, it tries to empty it, even if it is not necessary.


The pelvic floor muscles are responsible for organizing the urine output. You can strengthen them with the help of special kegel exercises. This technique is aimed at controlling the process of urination through the exercise of the pubic-coccygeal muscle.

These exercises are suitable for women and men. The technique and description of each exercise are shown in the figure.

Folk methods

The most effective popular medicine for urgency is tincture of dill. It should be drunk on an empty stomach before going to bed. The duration of treatment is 2 weeks.

The recipe of infusion of dill:

  1. Grind 1 tbsp. l dry raw materials.
  2. Fall asleep in a thermos.
  3. Pour 200 ml of boiling water.
  4. Insist 2 hours.

Instead of a thermos, you can use a mug, covered with a saucer and wound in a terry towel.

No less effective is sage. An infusion is also prepared from the plant, which should be drunk 2-3 times a day.

Recipe for making sage infusion:

  1. Fall asleep 3 tbsp. l raw materials in a small pot.
  2. Pour 1 liter of water.
  3. Boil for 5 minutes.
  4. Insist 2 hours, strain.


To avoid involuntary urination, a person needs to give up alcohol, smoking, because all this is irritating to the urea.

Prevention of urgency includes:

  • active lifestyle;
  • moderate exercise;
  • reduced fluid intake;
  • change of medicines, if their admission has led to illness.


From this video you will learn the causes of urinary incontinence in women.

How does this pathology in men.

Treatment of urinary incontinence folk remedies.