Overactive Bladder Urology Treatments

Overactive bladder is a term that is used to describe a collection of urine symptoms. The most common symptom is an uncontrollable urge or need to urinate. When this need strikes, some people will leak urine. Another symptom is the desire to pass pee often during the day and night. OAB is essentially the sensation that you "have to go" to the restroom immediately and excessively.

Urine leakage is referred to as "incontinence." Another prevalent bladder condition is stress urinary incontinence (SUI). It's not the same as OAB. SUI patients leak urine while sneezing, laughing, or engaging in other physical activities.

Diagnosis

After discussing your symptoms, your health care practitioner may conduct an immediate exam. They may also recommend you to a specialist, such as a urologist, who is trained to diagnose and treat OAB. Some urologists specialize on incontinence and urinary retention.

Medical and Surgical Treatments

Prescription Medications

When lifestyle modifications aren't enough, taking medication may be the next option. Special medications for OAB can be discussed with your doctor.

There are various sorts of medications that can relax the bladder muscle. These medications, such as anti-muscarinics and beta-3 agonists, can help prevent your bladder from squeezing when it isn't full. Some are given orally as pills. 

Anti-muscarinics and beta-3 adrenoceptor agonists can relax the bladder muscle, allowing it to hold and drain more urine. Combination medicines, such as anti-muscarinics and beta-3 adrenoceptor agonists, may assist reduce OAB when one choice alone is ineffective.

If one drug doesn't work, your doctor may ask you to try a different one.

Bladder Botox Treatment

If dietary changes and medication are ineffective, injections may be recommended. A male and female urologist or a female pelvic medicine and reconstructive surgeon (FPMRS) can assist with this. They might provide Bladder Botox Treatment.

Botox relieves urine urgency and urge incontinence by relaxing the bladder wall muscles. It can prevent the bladder muscles from squeezing excessively. To administer botulinum toxin to the bladder, your doctor will insert a cystoscope into the bladder,letting the doctor see inside the bladder. The doctor will then inject very small doses of botulinum toxin into the bladder muscle. This treatment is carried out in the office under local anaesthetic. Botox's effects might extend up to six months.

Your doctor will want to know if the botulinum toxin treatment is effective for you. They will examine you to see if you are getting relief or if you are not holding in too much urine. If your pee isn't releasing properly, you may need to wear a catheter for a while.

Nerve Stimulation

Nerve stimulation, also known as neuromodulation therapy, is another treatment option for those who want extra assistance. This method of treatment involves sending electrical pulses to neurons that run parallel to the bladder's passage. The nerve signals between your bladder and brain do not communicate properly in OAB. These electrical pulses allow the brain and nerves to the bladder to communicate, allowing the bladder to function normally and alleviating OAB symptoms.