What is Overactive Bladder

Overactive bladder is a condition characterized by a sudden, uncontrollable urge to urinate. It can lead to frequent urination and, in some cases, incontinence.

Common Clinical Presentation

  • Sudden, strong urge to urinate that is difficult to control

  • Frequent urination, often eight or more times in 24 hours

  • Waking up two or more times during the night to urinate (nocturia)

  • Unintentional loss of urine immediately following an urgent need to urinate (urge incontinence)

Behavioral Therapies

Bladder training to increase intervals between urination.

Pelvic floor exercises (Kegels) to strengthen bladder muscles.

Medications

Anticholinergics (e.g., oxybutynin, tolterodine) to relax the bladder.

Beta-3 agonists (e.g., mirabegron) to improve bladder capacity

Lifestyle Changes

Limiting caffeine and alcohol intake.

Managing fluid intake to reduce nighttime urination.

Medical Devices

Nerve stimulation devices to regulate bladder function in severe cases.

Surgery

In rare, severe cases, surgery may be considered if other treatments fail.

Healthy Lifestyle

Maintain a healthy weight, avoid bladder irritants, and practice good bathroom habits.

Regular Exercise

Strengthen pelvic floor muscles through regular exercise.

You should know

If symptoms of overactive bladder disrupt daily life, consult a healthcare provider for a proper diagnosis and individualized treatment plan.

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