Urge incontinence, also called urinary incontinence, is the sudden urge to urinate, due to involuntary contraction of the bladder muscles. Urinary urgency is one of the main symptoms of urinary tract infection (UTI) and can also be linked to other conditions.1

Damage to the nerves that control the bladder or conditions such as overactive bladder is characterized by this. This condition is related to and often accompanied by urinary frequency, the need to urinate frequently. The two symptoms are sometimes confused with each other. For example, people with uncontrolled diabetes often experience the need to urinate frequently and can describe the feeling that urgency feels the urge to urinate as a result.

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How do I know if I have urge incontinence?

Urge incontinence occurs when you have a sudden urge to urinate. At the urinary incontinence, the bladder contracts when it should not, which often causes the urine to leak through the muscles that hold the bladder closed. Other names for this condition are:

  • Overactive bladder
  • Bladder spasms
  • Spasmodic bladder
  • Irritable bladder
  • Detrusor instability

The key to determining if you have trouble with this condition is whether the need to urinate often creates challenges in your daily life. You may also consider whether you feel a form of anxiety when you are not near a toilet.

Urgent urination describes an overwhelming need to get to the toilet immediately when you feel the urge to urinate. It may be accompanied by pain or discomfort in the bladder or urinary tract. You can get acute urinary problems if you sometimes fail to reach the toilet in time or if the urge to urinate comes suddenly. Frequent and urgent urination problems often occur together. You may feel the need to urinate often and that urge suddenly fades up.

If you are concerned about your problem and it starts to affect your daily life, make an appointment to see your doctor, nurse or specialist physiotherapist. A continental nurse and specialist physiotherapist are health professionals who specialize in bladder and intestinal problems.


When and how this happens, varies depending on the type of urinary incontinence you have.
It is a good idea to see your doctor if you have urinary incontinence (urinary incontinence may differ in men and women). This is a common problem and seeing a doctor may be the first step towards finding a way to effectively handle this.

Urge incontinence, or incontinence, is when you feel a sudden and very intense need to urinate and you can not wait to go to the toilet. It is often only a few seconds between the need to urinate and the release of urine. Your need to urinate can be triggered by a sudden change of position or even the sound of running water. You can also urinate during sex, especially when you reach the point of orgasm.

This type of incontinence often occurs as part of the group of symptoms called overactive bladder syndrome, where the bladder muscle is more active than usual.

Symptoms of overactive bladder may include:

  • Strong urination – it is that you have to pee often. (This is also called urinary incontinence)
  • You have to pee often a day – up to 10-12 times.
  • You wake up one or more times at night to pee.
  • If you have a serious case of urge incontinence, you should immediately seek treatment.

Symptoms that should not be overlooked:

  • bladder infection
  • inflammation
  • an obstruction in the urethra
  • stones in the bladder or kidneys

Some symptoms to look up with your urge incontinence are a pain in the pelvic region, burning or pain with urination or symptoms that persist for several days.

What causes urge incontinence?

In many cases of urinary incontinence, a doctor can not find an exact cause. However, some potential causes may include:

Common causes of these symptoms are:

  • Urinary tract infection (UTI)
  • Enlarged prostate of middle aged and older men
  • Leakage of urine from the urethra (the tube that carries urine out of your body)
  • Swelling and infection of the urethra
  • Vaginitis (swelling or discharge of vulva and sheath)

Uncommon causes include:

  • Alcohol Use
  • Anxiety
  • Bladder cancer (not common)
  • Drink like caffeine
  • Diabetes that is not well controlled
  • Pregnancy
  • Interstitial bladder inflammation
  • Drugs like water pills (diuretics)
  • Overactive bladder syndrome
  • Radiation treatment to the pelvis, used to treat certain cancers
  • Stroke and other diseases of the brain or nervous system
  • Tumor or growth in the pelvis

When should I seek the help of a doctor?

For many people, urinary incontinence is just a disadvantage that does not require medical attention. However, if your urinary incontinence prevents your daily activities, you may want to visit your doctor to discuss treatment options or other ways to deal with the condition.

Treatment options?

For people with incontinence, lifestyle interventions (for example cut down on caffeine and alcohol) and bladder training are usually tried first. If there is not enough improvement in bladder training alone, medication may be considered.

Treatments are varied. They rely on your symptoms and condition. Each person wants a different treatment plan. Your doctor will probably recommend trying behavioral treatments, such as bladder exercises and Kegel exercises, before suggesting more invasive treatments.

For people with more extreme cases of urinary incontinence, Detrusitol is an effective aid. This medicine is the active ingredient in Tolterodine, and it helps to inhibit the nervous system’s impulses, which causes the bladder muscles to relax and therefore do not force the bladder to drain.

It is individual how fast Detrusitol Retard works. If you have used the product for 1-2 months without any beneficial effects, your doctor may advise you to try another medicine or other method.

Other medicines used more rarely are estrogen that is applied to the vagina. These medicines are usually prescribed with the advice of a specialist physician. Estrogen used on the vagina can be selected for women who have gone through menopause.

Can I buy it online in the UK?

Medicines for urge incontinence are available on prescription, that is, anyone who wants to use this treatment must undergo a form of consultation with a medical professional as well as the general practitioner before purchasing the products. An alternative can be an online consultation, where you fill out a form and provide all relevant information about your state. Through online consultation, you also have the option to order the product after the doctor has decided which treatment is appropriate for you. This makes it easier and faster to get the potential drug you are looking for.


  1. More about the condition – NHS