Overactive Bladder

OVERACTIVE BLADDER

Overactive bladder is a very common urinary health condition. In fact, over 30 million Americans, both men and women, are affected by overactive bladder symptoms. Essentially, overactive bladder occurs when the detrusor muscles in the bladder contract spastically and frequently, rather than being relaxed as they should be. This condition is not normal at any age, but fortunately, is most often treatable.

OVERACTIVE BLADDER SYMPTOMS

  • Frequency - an urge to urinate more than eight times a day
  • Urgency - sudden and strong urge to urinate
  • Wetting accidents (incontinence) - an involuntary loss of urine
  • Nocturia - waking up to urinate two or more times a night

SOME RISK FACTORS FOR OVERACTIVE BLADDER

While there are several reasons overactive bladder may be occurring, there are some medical conditions associated with overactive bladder. Note: if you have overactive bladder, it does not mean that you have these conditions.

  • Diabetes
  • Obesity
  • Stroke
  • Parkinson's Disease
  • Multiple Sclerosis

DO I HAVE AN OVERACTIVE BLADDER?

Answer these questions with a YES or No answer:

  • Do you get up more than two times a night to use the bathroom?
  • Do you have an uncontrollable urge to urinate?
  • Do you use the bathroom frequently throughout the day?
  • Do you limit your fluid intake when you are away from home so that you don't have to locate a bathroom?
  • Do you limit your fluid intake before going to bed attempting to minimize trips to the bathroom overnight?
  • When visiting a new place, do you make sure you know where the bathroom is?
  • Do you avoid places that do not have a bathroom nearby (example, hiking trails)?
  • Do you go to the bathroom so often that it interferes with your activities?
  • Do you use pads to protect your clothes from leakage or wetting accidents?

If you answered YES to one or more of these questions, you may have overactive bladder.

HOW IS OVERACTIVE BLADDER DIAGNOSED?

  • A health history and physical exam
  • Urinalysis - urine sample
  • Post void residual measurement - a test performed to see if urine remains after you have attempted to fully empty your bladder.
  • Ultrasound to determine the size and shape of the kidneys, bladder and prostate (for men).
  • Cystoscopy - allows the doctor to look inside the bladder
  • Urodynamic testing
  • Voiding diary

TREATMENT FOR OVERACTIVE BLADDER

If you are diagnosed with overactive bladder, your provider will make recommendations about how to best manage your condition. A number of treatment choices are avaiable including:

  • Medications prescribed to decrease the frequency and intensity of bladder contractions and to relax the smooth muscles of the bladder.
  • Bladder retraining, behavior modification, lifestyle changes
  • Sacral nerve stimulation or InterStim therapy
  • PTNS or Percutaneous Tibial Nerve Stumulation - done in-office once per week for 12 weeks
  • Botox - injected into the bladder