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Dr.Niraj Mahajan
Dr.Niraj Mahajan
Dr.Niraj Mahajan

OVERACTIVE BLADDER

What is meant by Overactive bladder?

A person is said to have a condition called overactive bladder, when the person feels an urgent need to urinate even if there is even a very little amount of urine stored in the bladder. This occurs due to the problems with the storage function of the bladder. It is a type of urinary incontinence.

Causes

Overactive bladder is caused by the inappropriate or involuntary contraction and relaxation of muscles of bladder, which occur due to certain abnormalities of the nervous system such as:

  • Spinal cord injury
  • Strokes
  • Neurological diseases like Parkinson’s disease
  • multiple sclerosis
  • Dementia

Other causes are-

  • Constipation
  • Excess consumption of alcohol
  • Excess consumption of caffeine
  • Acute urinary tract infections
  • Obstruction in bladder outflow
  • prostate enlargement

When to approach the doctor?Symptoms that indicate an overactive bladder are-

  • A sudden urge to urinate (urge incontinence)
  • Frequent urination
  • Nocturia ( frequent urination during night)
  • Urgency to urinate

Diagnosis Tests

  • General Physical Examination
  • Pelvic exam (for women)
  • Prostrate exam ( for men)
  • Urine test
  • Urine cytology
  • Ultrasound

Treatment

  • Behavioural Treatment
  • Pelvic floor exercises
    • Weight loss
    • lower the intake of alcohol, caffeine
    • change in diet
    • double voiding
    • scheduled toilet trips
    • bladder training
  • Medications
  • Tolterodine
    • (Ditropan XL)
    • Oxybutynin
    • Oxybutynin gel
    • Trospium
    • Solifenacin
    • Darifenacin
    • Mirabegron
    • Fesoterodine
  • Bladder injections
  • Nerve stimulation(regulation of nerve impulses)
  • Surgery
    • To increase bladder capacity
    • Bladder removal

The doctor can suggest one or combination of these treatments depending on the cause of the problem.

Post surgery

  • After surgery, the patient will be asked to urinate to test the response of the bladder and urethra to the surgery. In case of bladder removal, a catheter will be introduced.
  • There might be mild pain in the abdomen after the surgery, which is normal
  • The doctor should be reported to periodically after the surgery, to check for proper functioning of the bladder

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Dr. Niraj Mahajan

MD- Gynecologist, Laparoscopic Surgeon, Uro-gynecologist , Infertility specialist & Cosmetic Gynecologist.

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