Frequent Urination (Pollakiuria): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate pollakiuria (frequent urination):

Leading Symptoms

  • Pollakisuria, i.e. frequent urination, although there is no increased urination (= polyuria).

Warning signs (red flags)

  • Anamnestic information:
    • Elderly patient + possibly dysuria (pain on urination) + possibly painless macrohematuria (presence of blood in the urine visible to the naked eye) → think of: Urinary bladder carcinoma (bladder cancer).
    • Older man → think of: benign prostatic hypertrophy (benign enlargement of the prostate).
    • Middle-aged man or over 70 years + fever + chills + severe feeling of illness + pain during defecation (bowel emptying) → think of: Prostatitis (inflammation of the prostate).
    • Children < 12 years → think of: possible indication for malformations.
  • Pyuria (excretion of purulent urine) → think of: Renal tuberculosis/tuberculous cystitis (inflammation of the bladder), pyelonephritis (inflammation of the renal pelvis).
  • Nonspecific abdominal complaints → think of: Appendicitis (appendicitis), diverticulitis (disease of the colon in which inflammation forms in protrusions of the mucosa (diverticula); secondary: dysuria/a difficult (painful) urination or a weak urine stream in the presence of a micturition disorder/bladder emptying disorder).