2023-07-27 17:00:00
Do you feel the need to urinate more than seven times a day? Or worse, you have to visit the toilet every 15-20 minutes, for just a few drops? You may have pollakiuria. It can also be only nocturnal if you get up more than once a night to pee.
What are the causes ?
Several causes can be at the origin of this. It may be a urinary tract infection, such as acute cystitis or pyelonephritis. Other causes: bladder cancer or a reduction in the capacity of the bladder following the treatment of a cancer by partial ablation or even a dysfunction linked to damage to the nervous system, due for example to multiple sclerosis or Parkinson’s disease. An overactive bladder can also be the cause of this phenomenon.
But it sometimes happens that no specific cause is identified. It is then an idiopathic case. It is no less embarrassing, even disabling on a daily basis. Once other causes have been ruled out, it is important to continue research by performing a 3 or 4 day voiding diary to record the total number of urinations over 24 hours and their volume, as well as the presence of any associated symptoms. “It will help the urologist to determine the 24-hour urine volume and the nocturnal portion as well as to objectively quantify the frequency of urination,” explains the French Association of Urology (AFU).
What are the treatments ?
In idiopathic cases, “it is first a question of rectifying aberrant behavior, avoiding irritating factors (alcohol, tea, coffee)”, explains the site of the Urology Department of Bichat Hospital. Indeed the excess of these products can irritate the bladder and induce a more frequent need to urinate. “Drinking patterns should be reduced or changed, causative illnesses treated and barriers removed. » Targeted perineal rehabilitation can also be of great help.
If these adaptations are not enough, “certain drugs can be valuable (essentially anticholinergics), but they are not devoid of side effects (essentially constipation and dry mouth)”, we can still read.
Finally, if nothing helps, the pollakiuria is called refractory. In this case, injections of botulinum toxin into the bladder muscle or “surgical treatments by implantation of a bladder pacemaker or bladder enlargement techniques (enlargement enterocystoplasty)” are then possible on a case-by-case basis. If you feel concerned, do not hesitate to consult your doctor, who will refer you to a urologist.
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