Overactive Bladder​

What is Overactive Bladder?

Overactive bladder (OAB) is a urinary condition characterized by a sudden, involuntary contraction of the bladder muscles, leading to a frequent and urgent need to urinate. It can significantly impact a person’s quality of life and daily activities. Overactive Bladder Treatment is important for managing these symptoms and improving overall quality of life.

What are the causes of Overactive Bladder?​

Several factors can contribute to Overactive Bladder (OAB), including:

Muscle Weakness

Weakened or overactive bladder muscles play a crucial role in OAB. Muscle weakness, often associated with aging or prior pelvic surgeries, can impair the bladder’s ability to contract or relax properly, leading to involuntary contractions and a sudden urge to urinate.

Nerve Issues

Disruptions in the intricate network of nerve signals between the bladder and the brain can be a significant cause of OAB. Conditions like multiple sclerosis, stroke, spinal cord injury, or nerve damage due to surgery or childbirth can disrupt communication, causing the bladder muscles to contract involuntarily, resulting in urinary urgency.

Medications or Medical Conditions

Certain medications or underlying health conditions can influence bladder function, contributing to OAB symptoms. Diuretics, sedatives, antihistamines, or medical conditions such as urinary tract infections (UTIs), diabetes, bladder stones, can affect bladder control, leading to increased frequency and urgency in urination.

What are the symptoms of Overactive Bladder?

Overactive Bladder (OAB) presents with several distinct symptoms, including:

Urgency

Individuals with OAB experience sudden and compelling urges to urinate, often difficult to suppress or control. This urgency may arise abruptly and persist, creating an intense need to use the restroom immediately, irrespective of bladder volume.

Frequency

Frequent urination characterizes OAB, leading individuals to visit the restroom more often than usual. Typically, this means needing to urinate eight or more times within a day, disrupting daily activities and routines.

Nocturia

Nocturia involves waking up multiple times during the night to urinate, interrupting sleep patterns. This symptom can significantly impact sleep quality and contribute to fatigue and daytime sleepiness.

Urge Incontinence

OAB often accompanies episodes of urge incontinence, wherein an individual experiences involuntary urine leakage or loss following the intense urge to urinate. This unexpected leakage can occur before reaching the restroom, causing embarrassment and affecting daily life.

Incomplete Emptying

Some individuals with OAB might experience a sensation of incomplete emptying of the bladder after urination. This feeling of incomplete voiding can lead to further urgency and frequency in an attempt to fully empty the bladder.

Who are at risk of Overactive Bladder?​

Factors that might increase the risk of OAB include:

Age

More common in older adults due to weakened bladder muscles (urogenital atrophy).

Gender

More prevalent in women, especially after menopause.

Certain Medical Conditions

Conditions like diabetes or neurological disorders might increase the risk.

How do you prevent Overactive Bladder?​

Preventive measures for OAB include:

Healthy Fluid Intake

Avoiding excessive intake of bladder irritants like caffeine or alcohol.

Pelvic Floor Exercises

Kegel exercises to strengthen pelvic floor muscles.

Maintaining a Healthy Weight

Obesity can contribute to bladder issues.

How is Overactive Bladder diagnosed?​

Diagnosing Overactive Bladder involves various methods:

Medical History & Physical Examination

Discussing symptoms and conducting a physical examination.

Bladder Diary

Recording voiding habits and fluid intake patterns.

Urinalysis

Analyzing a urine sample to rule out infections or other issues.

How is Overactive Bladder treated?

Treatment options for OAB include:

Lifestyle Modifications

Adjusting fluid intake and avoiding bladder irritants.

Pelvic Floor Therapy

Strengthening pelvic floor muscles through exercises.

Medications

Prescription medications to relax bladder muscles or reduce urgency.

Nerve Stimulation

Techniques like sacral nerve stimulation to control bladder function.

IntimaV Treatments for Overactive Bladder?

Vestibulodynia Treatment

OTC Medications

OTC medications, such as anticholinergics or antispasmodics, are available to help manage symptoms of overactive bladder. These medications aim to relax bladder muscles, reducing urgency and frequency of urination.

Orgasmic Disorders Treatment

High Intensity Focused Electromagnetic Chair

The electromagnetic chair, a non-invasive therapy, uses electromagnetic fields to stimulate and strengthen pelvic floor muscles. This treatment aims to improve bladder control and reduce symptoms of overactive bladder by enhancing muscle tone.

gynecologist in a treatment center

Biofeedback Treatment

Biofeedback therapy involves sensors and exercises to help individuals gain voluntary control over pelvic muscles (10 to 14 sessions). This technique aims to improve bladder function by teaching relaxation and coordination of pelvic floor muscles, reducing episodes of urgency.

Vaginismus Treatment

Botulinum Toxin Injections

Botulinum toxin injections into the bladder muscle can help control overactive bladder symptoms. This procedure aims to relax an overactive bladder, reducing urinary urgency and frequency by inhibiting nerve signals that trigger bladder contractions.