Overactive Bladder in Men

A sudden urge to urinate that is difficult to control or defer. The sense of urgency can occur with or without leakage of urine; often when on the way to the bathroom. Men may also report having to urinate very frequently throughout the day and night.

Causes

  • Contractions of the detrusor muscle of the bladder

  • Increased nerve sensitivity

  • Pelvic floor dysfunction either muscle tightness or weakness

  • Anxiety and depression

  • Dietary irritants such as carbonated drinks, white wine, spicy foods, coffee

Signs & Symptoms

  • A sudden and strong urge to urinate that is difficult to defer

  • Needing to urinate often throughout the day

  • Waking up at night (more than once) to empty your bladder

  • Urinary leakage on the way to the bathroom

  • Difficulty emptying your bladder or a feeling of not completely emptying

Differential Diagnosis

  • Urinary tract infection (UTI)

  • Medical conditions including diabetes, vascular or cardiac diseases

PROmotion Assessment 

  • Elimination or reduction of bladder irritants from your diet

  • Managing fluid intake

  • Pelvic floor muscle exercises

  • Bladder calming strategies

  • Bladder training such as timed voiding

  • Techniques to ensure complete bladder emptying

  • TENS machine stimulation

How to Manage

  • Elimination or reduction of bladder irritants from your diet

  • Managing fluid intake

  • Pelvic floor muscle exercises

  • Bladder calming strategies

  • Bladder training such as timed voiding

  • Techniques to ensure complete bladder emptying

  • TENS machine stimulation

References

  1. Gormley, E. A., Lightner, D. J., Faraday, M., & Vasavada, S. P. (2015). Diagnosis and Treatment of Overactive Bladder (Non-Neurogenic) in Adults: AUA/SUFU Guideline Amendment. J Urol, 193(5), 1572-1580. https://doi.org/10.1016/j.juro.2015.01.087