‘Restless bladder’ and the boundaries of the restless legs syndrome

Case report #1 A 43-year-old lady, suffers since the age 38 from unpleasant symptoms that are present every night. These symptoms appear when she is nearly falling asleep and a few minutes after she goes to sleep. They consist of a troublesome feeling localized at the level of the bladder, not quite similar to the feeling of urgency induced by a full bladder, but intense enough to force her to usually pass a few drops of urine. This provides some relief, but is always transient: micturitions are repeated up to 20 times per night, and cease in the morning. There is no urgency during the daytime, when voiding is always related to a full bladder. The disturbance has progressively worsened over the years, and she has been reduced to sleep in a separate room from her husband.