A constant and frequent urge to urinate – that’s something only women suffer from, isn't it? Far from it! Men are also affected by this complaint and this almost to the same degree as women. At alta uro, we shall address your symptoms, so the urge to urinate will soon be a thing of the past.

What are the possible causes of an irritable bladder?

Strictly speaking, the term of “irritable bladder” only refers to situations of an annoyingly frequent urge to urinate for which no other causes can be found. In the case of an irritable bladder, the bladder function is impaired. The men thus affected, feel the need to urinate much more often than physically necessary. In addition, patients may also suffer from an involuntary loss of urine, so-called “incontinence”.

However a constant urge to urinate or incontinence can also occur due to many other conditions such as a benign enlargement of the prostate, inflammations, neurological diseases, a narrowing of the bladder neck, tumours, mental illnesses, or a chronic inflammation of the bladder (interstitial cystitis).

What diagnostic procedures are performed for an irritable bladder?

Initially, the most important thing is a detailed discussion with the patient, for which we schedule a lot of time as this will provide us with valuable information. Quite often, a so-called drinking and micturition protocol will be required. For this purpose, patients have to document how much they drink and measure the amount of their urine with a measuring cup. This documentation allows us to draw the first conclusions as to the function or dysfunction of the bladder. This is followed by a physical examination, a urine test, and an ultrasound scan. Additional diagnostics depend on the type of symptoms and include, for example, a bladder examination (cystoscopy) or a measuring of bladder pressure (so-called urodynamic testing).

What are the treatment options for an irritable bladder?

The chosen type of treatment will depend on the underlying disease. If it is, for instance, an inflammation, the inflammation will be treated. In men, the cause of an irritable bladder often is an enlargement of the prostate. As a result of the drainage problem caused by the enlarged prostate, the bladder function is slowly impaired. That’s why, a therapy of the benign enlargement of the prostate is indicated in this situation.

If no obvious cause can be identified, various treatment options are possible, which will not eliminate the cause but can greatly alleviate the symptoms. Possible treatments and therapies include, for instance:

  • behavioural therapy and physiotherapy to train the bladder,
  • medication to reduce bladder activity,
  • operations such as the administration of botulinum toxin into the bladder,
  • in the case of the so-called interstitial cystitis, the administration of drugs that rebuild the protective layer of the bladder,
  • electrical nerve stimulation through the skin (TENS).

The alta uro team of physicians always applies a therapeutic concept finely tailored to the respective cause of the irritable bladder. Thanks to this concept, which is adapted to those affected by the complaint in as optimum a manner as possible, quite satisfactory therapeutic results may be achieved.