Overactive Bladder is a medical urological condition which makes the patient’s bladder very unstable, thus causing it to pas out urine even when the bladder is not full and even if they are not ready for it. It comes very suddenly and the person does not have any control over it, thus making it an embarrassing situation.
There are many causes for overactive bladders, like bladder stones, infections, diabetes, and even certain neurological ailments like Alzheimer’s, multiple sclerosis, injury to the spine etc. in men it can be caused die to problems in prostate conditions. However, there are cases when the actual cause for overactive bladder is not even diagnosed. Most often, the overactive bladder condition is linked with an over activity of detrusor, which involves an unusual pattern of muscle contraction in the bladder which can be seen through urodynamics.
Overactive bladder forms a separate condition when it combines with stress urinary incontinence and is called as mixed incontinence. The overactive bladder condition can be treated using various techniques like modifying the lifestyle by restricting fluids or avoiding caffeine, retraining the bladder, antimuscarinic drugs like hyoscyamine, darifenacin, oxybutynin, tolterodine and trospium; and also by using several devices like an Interstim. In certain advanced cases of overactive bladder, intravesical botulinum of toxin A is used to treat it. This condition is more commonly found in older persons, but is not necessarily a part of the ageing process. Surveys conducted have shown that about one in every six older persons in the US have a likelihood of contracting this condition.
The major symptoms of an overactive bladder condition are urgency during urination, frequent urination, urge incontinence, etc. the condition can also lead to problems on the social, domestic, psychological, occupational, sexual and physical events and situations. However, with proper treatment all these problems caused by overactive bladders can be contained and even resolved.
Overactive bladders can be treated based upon the patient’s abilities to adapt to the various procedures. Some of the most commonly used treatments are as follows:-
–Pelvic Muscle rehabilitation: this is used to enhance the pelvic muscle’s tones and to help avoid leakage in the area thus preventing overactive bladders.
–Kegel exercises: this involves a regular exercising of the pelvic muscles, which may help in preventing the overactive bladder condition and urinary incontinence altogether. It must be done approximately 30 to 80 times in a day for about 8 weeks. This treatment is especially handy in the case of young women with an overactive bladder.
–Biofeedback: this treatment is used along with the Kegel treatment, and it helps the person in creating awareness in the area and gain better control of their pelvic muscles and in turn assists in controlling their overactive bladders.
–Vaginal weight training: this involves tightening the vaginal muscles by holding tiny weights inside it. They are done two times a day, for 15 minutes each, giving the bladder a reduced overacting.
–Pelvic-floor electrical stimulation: this is also done along with the kegel exercises. Slight electrical pulses are made in order to stimulate the muscle contractions, and this will enable the person to control their overactive bladder.
–Behavioral therapies: like bladder training will help persons to gain control over their urinary urge and also toileting help and giving habit training will ensure that the overactive bladder does not start functioning at odd times.