Which symptom is most aligned with bladder overactivity?

Which symptom is most aligned with bladder overactivity?

• A. Diminished urge
• B. Urgency
• C. Nocturnal retention
• D. Anuria

Answer: (B)

Bladder overactivity comes from the detrusor muscle contracting more than normal during the filling phase, which creates a sudden, compelling need to urinate that’s hard to delay. That urgent sensation is the hallmark of overactive bladder, so the symptom that fits best is urgency. Diminished urge would indicate reduced bladder sensation or underactivity, not overactivity. Nighttime retention points to trouble emptying rather than a sudden urge to go, and anuria is the complete absence of urine production, which isn’t related to the urge to void. So the sudden, strong urge to urinate best reflects bladder overactivity.

Bladder overactivity comes from the detrusor muscle contracting more than normal during the filling phase, which creates a sudden, compelling need to urinate that’s hard to delay. That urgent sensation is the hallmark of overactive bladder, so the symptom that fits best is urgency. Diminished urge would indicate reduced bladder sensation or underactivity, not overactivity. Nighttime retention points to trouble emptying rather than a sudden urge to go, and anuria is the complete absence of urine production, which isn’t related to the urge to void. So the sudden, strong urge to urinate best reflects bladder overactivity.