Overactive bladder

What is Overactive Bladder

Overactive bladder is characterized by a limited inability to control urges to urinate.

It is characterized by intense and imminent need to urinate, without necessarily having the bladder reached its maximum capacity and by an increased frequency of urinating day or night. It can cause emergency urinary leakage.

It then results in involuntary contractions of the bladder, regardless of its level of filling.

Overactive bladder gets worse with age. It is more common in women.

What is causing an overactive bladder?
The cause is unknown
What are the diseases that can give symptoms of overactive bladder?
  • Diabetes, multiple sclerosis, Parkinson's disease,
  • Recent surgery (eg, orthopedic surgery or bladder or reproductive organ intervention),
  • Spinal Cord Lesions, Stroke, Alzheimer's Disease,
  • Hypertrophy of the prostate,
  • Bladder stones,
  • Urinary tract infections,
  • Tumour or inflammation of the bladder,
  • The nocturnal polyuria,
What are the symptoms of overactive bladder?
- Urges to urinate frequently (frequency ),

- Urgent needs to go to the toilet regularly, with the apprehension of having to urinate at an inappropriate time. (urgency )

- Urinary leakage when the person can not get to the toilet (Urge incontinence).
What are the risk factors for overactive bladder?
- Increased consumption of caffeinated beverage

- Urinary tract infection

- Disorders of the nervous system
How can we prevent overactive bladder?
  • It's not about limiting your hydration
  • Avoid certain drinks, such as alcohol, caffeinated beverages, soft drinks, fruit juices.
  • Avoid certain foods: citrus fruits, fruits, spicy foods, vinegar, chocolate,
  • It is also recommended not to drink after dinner
  • Always go to the bathroom before going to bed.
What are the alternatives for overactive bladder before medical treatment?
- For overactive bladder treatments to be effective, you need to be faithful to treatment.

- Change of habit of life. Avoid caffeine and alcohol.

- Exercises of rehabilitation of the bladder, making it possible to limit the desires to urinate (link page perineal reeducation)

- A stimulation of the tibial nerve, located at the level of the ankle and playing an important role in the management of the bladder. This technique is taught in Marois clinics.
What is the medical treatment for overactive bladder?
- Specific drugs to reduce the number of cravings and limit leaks

- Anticholinergics are thought to work by blocking detrusor stimulation, which causes involuntary contractions.

- Anticholinergics available in Canada include darifenacin, fesoterodine, flavoxate, oxybutynin, solifenacin, tolterodine, and trospium.

- Most of these drugs are available in tablet form and some are only to be taken once a day. Oxybutynin is also available as transdermal patches or gel.

- The most common side effects are dry mouth and constipation.

- Mirabegron is a new type of overactive bladder medication that does not cause constipation or dry mouth.

What are the other treatments available for overactive bladder?

  • Intravesical Botox Injections

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