Urgency And Urge Incontinence

The sudden intense sensation of needing to go to the toilet and having to rush to get there is called ‘urgency ‘.

People who have normal bladder function can hold on until they reach the toilet, but people with urgency may leak if they do not get to a toilet in time. It this happens then it is called ‘urge incontinence’. Most cases of urgency and urge incontinence are caused by an overactive bladder. However, for some people, the cause is never found.

You may feel the need to rush to the toilet if you have a urinary tract infection. People with diseases that affect the nerves that are linked to the bladder such as Multiple Sclerosis and Parkinson’s disease can be prone to urgency and urge incontinence. ‘Latch key’ urgency can affect people who already have poor bladder control. This term refers to the need to go to the toilet as soon as you get home and put the key in the door. Knowing that you will soon be able to go to the toilet may cause your bladder to contract so that you have to rush to get to the toilet.  Some people experience a similar urgency feeling when they hear running water. This can be quite common but when you have to rush to the toilet and sometimes do not make it in time, you need to investigate this problem.

If you are concerned about your problem and it is starting to affect your day-to-day life make an appointment to see your doctor, continence nurse or specialist physiotherapist. A continence nurse and specialist physiotherapist are healthcare professionals who specialise in bladder and bowel problems.

Once you have made an appointment your healthcare professional will assess you. They may ask you some of the following questions:

  • How often do you go to the toilet to pass urine?
  • How often do you leak urine?
  • When do you leak urine?
  • What medication do you take?
  • What do you normally eat or drink?
  • Is it painful / uncomfortable when you pass urine?
  • How many times do you get up at night?
  • Do you ever wet the bed?

It would be a good idea to keep a record of your bladder activity for a few days before your appointment. Keep a record for at least 3 days. Please visit our section on Bladder Diary/retraining for more information and a copy of a blank diary you can download and complete yourself.

Urgency and urge incontinence can cause a great deal of worry and stress and you may start to live your life around your problem, however there is help available.