Often when we think Women’s health, the most common dysfunction people immediately think of is leakage. Whether that is leakage during a certain activity such as sneezing, laughing, coughing (stress urinary incontinence) or leaking on the way to the toilet (urge urinary incontinence).
Some people often don’t associate other symptoms such as urgency, frequency and increased nighttime voids as bladder related issues.
In actual fact, if I were to ask Women what is more bothersome to them, the leakage or the urgency coupled with or without frequency and nighttime voids, the later would be what is impacting their quality of life more. Leakage on most occasions Women can manage e.g they might be happy to wear a panty liner during exercise in the event that they might have a small leak. But urinary urgency has a significant impact on quality of life.
Urinary urgency is defined by the International Continence Society as the complaint of a sudden compelling desire to pass urine, which is difficult to defer.
Often the urge is very unexpected and unprovoked, and can literally happen at any time.
The issue with urgency is that it’s often followed by a fear/anxiety/stress response because the urge is so difficult to defer that you are compelled to find a place to toilet immediately.