Differential Diagnosis for Urgency in Males
Single Most Likely Diagnosis
- Urinary Tract Infection (UTI): This is a common cause of urgency in males, especially if accompanied by other symptoms like dysuria, frequency, or suprapubic discomfort. The likelihood increases with age and the presence of underlying urological conditions.
Other Likely Diagnoses
- Benign Prostatic Hyperplasia (BPH): Enlargement of the prostate gland can cause urinary urgency, frequency, and difficulty starting urination, making it a common issue in older men.
- Overactive Bladder (OAB): Characterized by a sudden, intense urge to urinate, often with frequency and nocturia, OAB can affect men of various ages.
- Prostatitis: Inflammation of the prostate can cause urinary urgency, pain, and discomfort, and is more common in younger and middle-aged men.
Do Not Miss Diagnoses
- Kidney Stones: While not always the first consideration for urgency, kidney stones can cause severe pain and urgency, especially if a stone is obstructing the urinary tract.
- Bladder Cancer: Though less common, bladder cancer can present with urinary urgency, especially if there's associated hematuria (blood in the urine).
- Neurogenic Bladder: Conditions affecting the nervous system, such as spinal cord injuries or multiple sclerosis, can lead to urinary urgency and incontinence due to impaired bladder control.
Rare Diagnoses
- Interstitial Cystitis: A chronic condition causing bladder pressure, bladder pain, and sometimes pelvic pain, which can lead to urinary urgency and frequency.
- Urethral Stricture: Narrowing of the urethra can cause obstructive urinary symptoms, including urgency, and is often due to trauma, infection, or inflammation.
- Bladder Outlet Obstruction: Other than BPH, obstruction can be due to bladder neck contracture, urethral stricture, or other rare conditions, leading to urinary urgency among other symptoms.