Overactive Bladder

Home Overactive Bladder
overactive bladder treatment in Pune

Overactive Bladder

Overactive bladder causes a sudden urge to urinate. The urge may be difficult to stop, and overactive bladder may lead to the involuntary loss of urine (urge incontinence).

If you have an overactive bladder, you may feel embarrassed, isolate yourself, or limit your work and social life. The good news is that a brief evaluation can determine whether there’s a specific cause for your overactive bladder symptoms.

Management of overactive bladder often begins with behavioural strategies, such as fluid schedules, timed voiding and bladder-holding techniques using your pelvic floor. If these initial efforts don’t help enough with your overactive bladder symptoms, medications are available.
When to see a doctor?
Although it’s not uncommon among older adults, overactive bladder isn’t a normal part of ageing. If your symptoms distress you or disrupt your life, talk to your doctor. Treatments are available that might help you.
Discussing such a private matter with your doctor might not be easy, but it’s worthwhile to take that risk — especially if your symptoms disrupt your work schedule, social interactions and everyday activities.

Causes

Normal bladder function

The kidneys produce urine, which drains into your bladder. When you urinate, urine passes from your bladder through an opening at the bottom and flows out a tube called the urethra (u-REE-thruh). As your bladder fills, nerve signals sent to your brain eventually trigger the need to urinate. When you urinate, nerve signals coordinate the relaxation of the pelvic floor muscles and the muscles of the urethra (urinary sphincter muscles). The muscles of the bladder tighten (contract), pushing the urine out.

  • Neurological disorders, such as stroke and multiple sclerosis
  • Diabetes
  • Medications that cause a rapid increase in urine production or require that you take them with lots of fluids
  • Abnormalities in the bladder, such as tumours or bladder stones
  • Factors that obstruct bladder outflow — enlarged prostate, constipation or previous operations to treat other forms of incontinence
  • Excess consumption of caffeine or alcohol
  • Declining cognitive function due to ageing, which may make it more difficult for your bladder to understand the signals it receives from your brain
  • Difficulty walking, which can lead to bladder urgency if you’re unable to get to the bathroom quickly

Overactive bladder causes a sudden urge to urinate. The urge may be difficult to stop, and overactive bladder may lead to the involuntary loss of urine (urge incontinence).
The work-up will likely include a:

  • Medical history(voiding diary)
  • Physical exam, focusing on your abdomen and genitals
  • Urine sample to test for infection, traces of blood or other abnormalities
  • Focused neurological exam that may identify sensory problems or abnormal reflexes
  • Ultrasonography KUB with post void residual urine volume measurement
  • Urodynamic study

Treatment includes Behavioral interventions, Pelvic floor muscle exercises, medications like anticholinergic, Intradetrusor BOTOX injection is given for resistant OAB, Nerve stimulation, Surgery to increase bladder capacity.

Call Us!

"Don't Hesitate to Ask Us About Your Problems"