Constant Urgency to Urinate in Men: Treatment for Men with Symptoms of Enlarged Prostate in New York City

by Alex Shteynshlyuger MD

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What are the Causes of Constant Urge to Urinate in Men?

Constant urge to urinate in men can be a sign of urine infection (UTI), bladder and kidney stones, swollen prostate as well as enlarged prostate due to BPH.  Other causes could include bladder cancer and prostate cancer.  Overactive bladder is another common cause of frequent urination in men.

Constant Need to Urinate and Good Urine Stream.

In men who have a good urine stream but have frequent urge to urinate, the urethral stricture is unlikely to be present.  If the problem started acutely and there is burning with urination, there is a good chance that symptoms are caused by UTI or sexually transmitted disease (STI).  Testing for a urine infection and sexually transmitted diseases would be the first step.  Sometimes UTI may be present but another cause such as urethral stricture, enlarged prostate, bladder stones or incomplete bladder emptying may be present as well.

If the problem with constant urination is chronic and a good stream is present, most likely it is attributable to an overactive bladder or large prostate.  Bladder ultrasound with postvoid residual of urine as well as uroflowmetry would help determine the cause of symptoms.  Cystoscopy and urodynamic testing would help confirm the diagnosis. 

 Constant Urge to Pee and Slow Urine Stream

In men who have low pressure and low flow of urine at the same time that they have the urge to void, narrowing of the urethra from obstruction of the prostate or urethral stricture is the most common cause of symptoms.  In men who had prostatic surgery, bladder neck contracture is another possibility.

Treatment Options for Men with Strong Urge to Pee at All Times and After Urination

Men with UTI are treated with antibiotics.  If UTI is a result of oral sex, often the UTI is atypical and more difficult to treat.  If the urge to urinate and burning is caused by sexually transmitted disease, antibiotics usually cure the problem.

If the urge to pee is a symptom of an enlarged prostate, enlarged prostate treatment is usually effective in treating urinary problems. These treatments could include medications to stop urinary frequency or a procedure 

How Effective is Treatment for Urinary Urgency and Frequent Urination?

Overall, more than 95% of the time, our experienced Urologists at New York Urology Specialists are able to determine the cause and successfully treat urinary urgency symptoms in men.

Medications to stop frequent and constant urge to urinate are effective in 70-80% of men with an enlarged prostate.  The efficacy of medications depends on how long the symptoms have been present, which is usually related to the severity of the problem.

If medications do not help, procedures can usually help most of the patients with symptoms of the constant urge to urinate.

For men with enlarged prostate causing constant urination during the day and at night, the Rezum procedure and Urolift for BPH procedure can help.  Prostate laser surgery is usually very effective in treating both urinary urgency and frequent urination symptoms caused by an enlarged prostate. Most commonly performed prostate laser surgery procedures include such effective treatments as Greenlight laser, Holmium Laser, ProTouch laser enucleation, and HoLAP. 

While other procedures for enlarged prostate have been done, they are currently still being studies. These include Aquablation for BPH which has efficacy similar to bipolar TURP.   I-Tind procedure for an enlarged prostate has been shown to have efficacy similar to Urolift and Rezum procedures. Newer methods of prostatic artery embolization appear to be effective for some men with an enlarged prostate.

For men with overactive bladder or neurogenic bladder caused by multiple sclerosis, Interstim procedure, as well as Botox injections in the bladder, are very effective for treating frequent urinary urge symptoms.

We offer personalized treatment options for BPH for men with symptoms of an enlarged prostate.

Why Choose New York Urology Specialists for Treatment of Urinary Retention Caused by Enlarged Prostate?

  • All treatment is performed by a Board-certified urologist experienced in treating men with symptoms of BPH using medical therapy, minimally invasive therapies, lasers and open surgery.
  • We are one of the few practices in the region to offer a full range of options for treatment of BPH.
  • We offer BPH treatment options under local anesthesia which avoids the risks, costs, and recovery from general anesthesia. Most men are able to return to office work and other normal activities the next day.
  • Extensive Experience: Hundreds of men treated successfully using medical therapy, Urolift, lasers for BPH (Holmium, Thulium, Evolve, Greenlight lasers), Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
  • We treat men with BPH who have heart problems (hypertension, CAD, CHF), renal failure (ESRD) on hemodialysis, men on blood thinners such as aspirin, Lovenox, Coumadin (Warfarin), apixaban, rivaroxaban (Xarelto).

Excellence-Urology_Care VasectomyWhen it comes to experience and innovation – New York Urology Specialists are a step ahead.  Better Science Means Better Care.  We specialize in minimally invasive highly effective treatment for symptoms of enlarged prostate and BPH. Many treatment procedures are performed in the convenience and privacy of office settings under local anesthesia.

If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call: 646-663-4044

Medicare and major insurances accepted. We offer affordable rates and financing options.

Schedule an Appointment with Dr. Shteynshlyuger:

Call today: 646-663-4044 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urinary problems in men.  He uses modern effective and proven treatment methods including prostate enucleation and Urolift for BPH.  He is highly recommended by top primary care physicians in the New York area.

He has successfully performed hundreds of prostate procedures in adults. Urolift procedures are performed in the office under local anesthesia, in a surgical center and affiliated hospitals under anesthesia.

If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to Contact Us with any questions.


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call: (646) 663-4044

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend, and evening office hours.