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
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