Q: I am a 60 years old male suffering from benign prostatic hyperplasia (BPH). I don't take medicine for that. I am taking Betaloc 50 to control my blood pressure levels. I also take Simvas 10 and Clopyvas. When I have to pass urine I must go to the toilet without any delay as I can't control. At night I have to getup 2-3 times to pass urine. I also underwent ultrasound scan, which showed prostate gland sized 40 mm. What shall I do now?

A:Feeling of sudden strong desire to pass urine (known as 'urgency') which at times may be so strong that one may leak urine before reaching the toilet (called 'urge incontinence') suggest bladder over activity. It basically means that bladder becomes so sensitive that it contracts very strongly even in the presence of low urine volume and causes more frequent urination as well. Increased frequency of urination may be both daytime as well as night time (as seen in your situation). Now the cause for this condition may be

• Primary i.e. bladder over activity without any problem with prostate. Or more commonly
• Secondary to Prostate enlargement (i.e. BPH). As expected, the treatment for both the situation varies. In case of prostatic related issues, the treatment (either medical or surgical management of prostatic enlargement) will help you with the symptoms.