HomeAnswersUrologyfrequent urinationHow can I manage urinary urge and incontinence?

Kindly advise methods to manage urinary urge and incontinence.

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Published At January 17, 2024
Reviewed AtJanuary 17, 2024

Patient's Query

Hello doctor,

I have been suffering from urge and incontinence of urine for the past four years. My USG is showing first grade BPH with about 50 ml to 75 ml of PV retention of urine. PSA is within normal range. The routine urine examination also reveals nothing abnormal and on culture sample, found sterile. I have been taking Tamsulosin 0.4 mg and Dutasteride 0.05 mg tablets OD as per doctor’s prescription. There is relief in the passage of urine but the urge and incontinence still persist. At times I feel irritation in the pelvic region. Please help me with your valuable guidance in this context.

Answered by Dr. Karthik Rajan

Hi,

Welcome to icliniq.com.

I have gone through your query. It is usual to have some degree of urgency in BPH (benign prostatic hyperplasia), but if it continues to persist even after your urinary stream improves, then one should make sure that there is no UTI or chronic prostate infection causing the symptoms. If both are negative, a urodynamic study will show whether you actually have an irritable bladder. If yes, then bladder relaxants can be added provided that your residual urine on ultrasound is not more than 50 to 60 ml.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Karthik Rajan
Dr. Karthik Rajan

Urology

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