OVERACTIVE BLADDER SYNDROME

Description

  • chronic condition of the bladder that causes sudden urges to urinate
  • The urge comes from bladder muscle contractions

Symptoms

  1. stress incontinence 
  2. urge incontinence
  3. Sudden Urge to Urinate
  4. Urinating Too Often
  5. Disrupted Sleep
  6. possible urine leakage

Causes

  1. when the normal process of storing and passing urine is disrupted.
  2. when pressure inside bladder is more than urethra capacity
  3. increased pressure on your tummy
  4. damage during childbirth
  5. neurological conditions
  6. certain medication
  7. damage to the bladder 
  8. Nerve Damage or Trauma

Risk factors

  • enlarged prostate and diabetes
  • after a stroke or with Alzheimer’s disease 

Diagnostic Tests

  • Bladder Diary
  • Pelvic or Prostate Exam
  • Neurological Exam
  • Urodynamic Tests
  • Urinalysis
  • Cough Stress Test
  • Uroflowmetry

Treatments

  • lifestyle changes
  • pelvic floor muscle training (‘Kegel exercises’)
  • bladder training
  • anticholinergics
  • Healthy Habits
  • weight control
  • Absorbent pads
  • Intermittent catheterization
  • Fluid consumption.
  • double voiding

Medication

  • Tolterodine (Detrol)
  • (Ditropan XL)
  • Oxybutynin as a skin patch (Oxytrol) 
  • Oxybutynin gel (Gelnique) 
  • Trospium (Sanctura)
  • Solifenacin (Vesicare) 
  • Darifenacin (Enablex) 
  • Mirabegron (Myrbetriq)
  • Fesoterodine (Toviaz) 

Lifestyle Management

  • Maintain a healthy weight.
  • Follow a fluid schedule. 
  • Avoid caffeine and alcohol.
  • Get More Fiber
  • Limit Acidic and Spicy Foods
  • Lose Weight