Overactive Bladder

Overactive bladder or OAB is a chronic condition that is very common.  OAB will affect an estimated 15-20% of the population.  Its presentation ranges from an annoying sense of needing to empty the bladder with great frequency to episodes of heavy urine loss usually with an uncontrollable sense of urgency.

A thorough evaluation is necessary to ensure that there is no other cause(s) for the symptoms, including bladder stones or tumors.  Although there is not a “cure” for OAB, there are strategies to significantly improve the symptoms.  Medications are just one part of the multimodal treatment plan to improve symptoms of overactive bladder.

Symptoms:

  • Urgency (need to rush to the restroom)
  • Frequency (numerous trips to the restroom, over 8 per day)
  • Sensation that you need to urinate even if you just urinated
  • Urinating more than 2 times during the night
  • Possible associated urge incontinence (heavy loss of urine involuntarily)


Causes
:

  • Increased activity of bladder muscle
  • Stones
  • Tumors (including malignancy)
  • Association with other pelvic tumors, including ovarian cysts/malignancy
  • Neurologic conditions
    - Multiple sclerosis
    - Parkinson’s Disease
    - Alzheimer’s Disease
    - Brain tumor
    - Stroke

 

Multimodal Treatment:

 

  • Behavioral Modification
  • Bladder Retraining
  • Medications
  • Peripheral Nerve Stimulation
  • InterStim (bladder “pacemaker”)