Overactive Bladder (OAB) is a common medical condition where the bladder muscle (detrusor) contracts too often or spontaneously and involuntarily. You may feel the need to pass urine more frequently and/or urgently than is necessary and some may also experience incontinence. Overactive bladder can affect women, men and children of any age. Sufferers are predominately adult women with adult men come a close second. In two large studies it was found that approximately one in six adults reported some symptoms of an overactive bladder. Symptoms vary in their severity. About one in three people with an overactive bladder have episodes of urge incontinence. Incidents of overactive bladder can increase with age. Those with overactive bladders do not always seek medical help or advice due to embarrassment or the belief that there is no help available because it is a natural consequence of aging or for women it is a consequence of childbirth
All aspects of quality of life may be affected when suffering from an overactive bladder. Travelling may be difficult due to concerns over possible urine leakage or locating the nearest toilet. An individual with overactive bladder may feel distress, embarrassment, inconvenience, loss of self-esteem and self-control. There will also be an effect on the sufferers’ personal relationships with others.
It is not always easy to identify a common feature responsible for bladder over-activity, however the following are possible causes:
Signs and symptoms of overactive bladder may mean you:
The choice of a particular treatment depends on the severity of the symptoms and the extent that the symptoms interfere with the patient’s lifestyle.The three main approaches to treatment include pharmacotherapy, behavioural therapy, and surgery.
Medications that relax the bladder can be effective for alleviating symptoms of overactive bladder and reducing episodes of urge incontinence. These drugs include tolterodine (Detrol), oxybutynin (Ditropan), an oxybutynin skin patch (Oxytrol), trospium (Sanctura), solifenacin (Vesicare) and darifenacin (Enablex). These medications are usually used in combination with behavioral interventions.
Surgery to treat overactive bladder is reserved for people with severe symptoms who don't respond to other treatments. The goal is to improve the bladder's storing ability and reduce pressure in the bladder.However, these procedures won't help relieve any bladder pain you might be experiencing.Interventions include:
Botox is now being used in our hospital as a treatment for OAB. Botox, (Botulinum A-toxin), is injected into the wall of the bladder to control the contractions. Whilst some patients have reported an immediate improvement in their symptoms it does not work for everyone and has to be repeated as the effect wears off. One side effect may be urine retention therefore a patient is taught intermittent self-catheterisation (ISC). It is advisable to fully discuss all the options and possible side effects with your consultant.
Behavioural therapy combined with pharmacologic therapy offers good results in OAB patients, with up to 80% of cases improved and excellent long-term results
We have all facilities of Uroflowmetry, Ultrasonography, Urodynamics and Videourodynamics available in state of art form. At Kokilaben Hospital, a complete reconstruction team from Botox work to Augmentations of Bladder is the available at the hospital.