Publisher: Kenneth Kee
Publication Date: February 09, 2017
Binding: Kobo eBook
The Overactive Bladder is defined as urgency to pass urine with or without urge incontinence and usually with frequency and nocturia.
Overactive bladder is a medical disorder in which the bladder squeezes urine out at the wrong time.
An overactive bladder is present if you have two or more of the following symptoms:
1. Urinate eight or more times a day or two or more times at night
2. Have the sudden, strong urge to urinate immediately
3. Leak urine during a sudden, strong urination urge
4. Have incontinence which is the loss of bladder control.
OAB maybe categorized into 2 forms:
1. OAB wet is OAB with incontinence.
2. OAB dry is OAB without incontinence.
OAB symptoms are more common in females than in males.
The possible causes of OAB are:
1. Weak bladder outlet sphincter
2. Weak Pelvic Floor muscles
1. Uterovaginal prolapse
2. Urinary infections
3. Prostate enlargement in men
4. Nerve problems or too much caffeine or too much fluid can also cause it
Symptoms are an urgent sensation to go to the toilet, frequently going to the toilet, and sometimes leaking urine before you reach the toilet (urge incontinence).
1. Frequency of urine
This is frequent going to the toilet, more than seven times a day.
2. Urgency of urine
This means that you may feel an urgent urge to pass urine.
There is inability to delay going to the toilet.
This means getting up to go to the toilet more than once at night.
4. Anxiety and depression
This is a leakage of urine even before reaching the toilet when you have a feeling of urgency.
Diagnosis is based on these symptoms and:
Measurements of post-voidal residual urine in the bladder
Ultrasound of bladder
MRI of bladder
Treatment is by:
Removal of urinary irritant such as caffiene, ...