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Overactive Bladder

Overactive Bladder in Women and Men is more evident as they grow older. And urinary symptoms like incontinence, urgency and frequency can be included with this condition. Those who are suffering with this condition may usually develop some complications like perineal rashes, urinary tract infections, renal failure, and decubitus ulcer. To add to that, those who have overactive bladder are usually high risk for fractures and falls. This is because they are often in a rush to reach the toilet.

Overactive Bladder in Women and Men: Contributing Causes and Factors

A potential cause is a dysfunction in the neurons branching out from aging or disease. This can result to a disturbance of complex control system that is normally present in the inferior part of the urinary tract. Sometimes, the cause of Overactive Bladder in Women and Men is believed to be multi-factorial. Conditions that are related to this condition can as well contribute to various symptoms or maybe the sole cause of Overactive Bladder in Women and Men. Examples include:

Disease or Nervous System Injuries- At a certain level, incontinence can be developed secondary to abnormalities of the detrusor myogenic。 It actually interrupts the normal voiding pattern, triggering the emergence of voiding reflex。 This will then lead to Overactive Bladder in Women and Men。

Outlet Obstruction- Obstruction in the urethra or presence of foreign material in the urinary bladder can result to frequency of passing pee.

Urinary Tract Infection- Urinary tract infection (UTI) that is not associated with obstructive or neurologic disorders can be resolved after three days of treatment with antibiotic。 The treatment course is continued for one to two weeks。 This can solve the symptoms of frequency and urge in urinating。

Detrusor Sphincter Dysnergia- This condition is usually secondary to multiple sclerosis or spinal cord injury (SCI). This may affect younger boys and girls, causing Overactive Bladder in Women and Men.

Deficient Urethral Sphincter- Urine spillage can stimulate the urethral afferents。 This can induce voiding reflexes to be involuntary。 This is more common to females with stress incontinence。

Urogenital Atrophy- This is a product of estrogen loss. Annoying symptoms may include urgency, dysuria and urinary frequency.

Prolapse of Pelvic Organ- This is a common coexisting factor. Although the connection between the pelvic organ anatomic descent, urgency and frequency, without or with urge incontinence, interrelated with symptomatic prolapsed of the pelvic organs.

Adrenal Mass or Enlarged Uterus- This leads to symptoms of the lower part of the urinary tract and compression of the urinary bladder.

Previous Surgery- The bladder neck or the anterior part of the vaginal wall may at times trigger the symptoms of urgency, and frequency。 Undergoing pelvic surgery can be a factor of Overactive Bladder。

Diagnosing Overactive Bladder in Women and Men

More concrete questions can be useful in identifying the nature of Overactive Bladder in Women and Men. Urine that is loss in association to urge incontinence may suggest instability of the detrusor, which is the most common reason why there is an Overactive Bladder.

Review of previous strategies in managing incontinence is very crucial to formulate an effective plan in treatment. Overactive Bladder in Women and Men is characterized by frequency, urge incontinence and urgency as well. Since some of these disorders may co-exist, therapy and comprehensive evaluation are absolutely important. Improvement in treating or managing the condition will only do well if there is an accurate and proper diagnosis.

Urodynamic testing is advised for elderly women and to those with mixed signs of urge and stress incontinence, elevated postvoid residual, or incontinence due to unsuccessful surgical operation.

Managing Overactive Bladder in Women and Men

Non-surgical management can be pharmacologic or non-pharmacologic. These treatments can be used in combination or it can just simply resort to a single management or depending on condition’s severity and the ability of the patient to comply with such management.

Non-pharmacologic Management

    Pelvic floor exercise with Resistance
    Bladder retraining
    Biofeedback

Pharmacologic Management

    Anti-cholinergic

Appropriate intervention and management, which starts with identifying the condition, is a main factor in gradually slowing the development of the condition. Overactive Bladder in Women and Men is a common health condition and at times may result to serious medical consequences.

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