Treatment Options for Overactive Bladder

By

Daniel Elliott, MD

Was this helpful? (28)
This content is selected and managed by the Healthgrades editorial staff and is brought to you by an advertising sponsor.
x

This content is created or selected by the Healthgrades editorial team and is funded by an advertising sponsor. The content is subject to the Healthgrades medical review process for accuracy, balance and objectivity. The content is not edited or otherwise influenced by the advertisers appearing on this page except with the possible suggestion of the broad topic area. For more information, read the HealthGrades advertising policy.

ADVERTISEMENT
PHYSICIAN CONTRIBUTOR

Expert Answers About Overactive Bladder

Dr. Daniel Elliott answers the most common questions he hears about overactive bladder.
Senior couple walking

If you have overactive bladder (OAB), you may feel perfectly fine, and then, the next second, have to race to the bathroom. These sudden urges to urinate are caused by spasms in the bladder and can be a huge inconvenience, hampering everyday activities because the fear of leaking overshadows everything.

The good news is you’re not alone. In fact, almost 1 in 3 women experience it, as well as more than 15% of men. Here’s the even better news: You can reduce your symptoms with a variety of behavioral changes, products and treatment options.

It’s not something people want to talk about, but overactive bladder is more common than you might think. Make sure you can separate fact from fiction.

Medical Reviewer: William C. Lloyd III, MD, FACS Last Review Date: Nov 6, 2015

Behavioral Changes

I’ve had several patients walk into my office carrying a 36-ounce soda, mention that they have symptoms of overactive bladder, and ask about treatment. When that happens, I’ll point to the drink in their hand and tell them getting rid of it is a good start.

If you’re struggling with OAB, I recommend limiting dietary irritants like caffeine and nicotine, restricting the amount of liquid you drink in the evenings, and avoiding stress. Timed voiding, or scheduling when you use the restroom, can also help retrain your bladder. Eliminating stress--or, at the very least, figuring out a way to diminish it, can also help decrease OAB symptoms. A sedentary lifestyle also contributes to OAB, so I recommend finding a way to keep active; any exercise where you’re working the leg and pelvic muscles can help. Speaking of exercises …

Kegel Exercises

Before prescribing any medication, you should try strengthening your pelvic muscles with a variety of exercises. I recommend trying Kegels, an exercise to strengthen the pelvic floor muscles--that is, as long as you do them correctly. It’s not just squeezing, but rather a controlled and focused tightening of different areas surrounding the pelvis. The more these muscles are worked, the stronger they’ll get, reducing your risk of incontinence, or leaking.

Devices

These lifestyle changes won’t eliminate your OAB, so it’s also important to know what options are available for managing your discomfort. There are several absorbent pads, liners and other products to reduce odor and discreetly hide urine, if leaking occurs. There are also tampon-like devices that put pressure on the bladder wall to stop leaking before it happens. Before trying a product like this, talk to your doctor to find out if it’s right for you.

Oral Medications and Surgery

If you have OAB, you’re probably familiar with the medication ads on TV, portraying running water and an actor suddenly needing to rush to the bathroom. There are a variety of oral medications available, though I still recommend starting with behavioral changes because it’s cheaper and has fewer side effects. Side effects of oral medications can include dry mouth, dry eyes, or constipation.

I have many patients (about three per week) who opt for Botox injections into the bladder to relax the bladder muscles and reduce incontinence. Right now, however, that’s a fairly expensive way to control the problem--especially considering the injections need to be repeated every 4 to 6 months. Another option, sacral nerve stimulation, essentially regulates nerve impulses to your bladder by implanting a small pulse generator into either your buttocks or lower abdomen. Augmentation, or bladder enlargement, is done less frequently and is considered a major surgery. During augmentation, the surgeon will take a small piece of intestines and add it to the bladder wall, allowing the bladder to store more urine.

Bottom line? You don’t have to tolerate OAB. There are several treatment and management options to help. I always encourage my patients to be willing and open to change their lifestyle because it can make a big difference. But most importantly, don’t be embarrassed to talk to your doctor.



THIS CONTENT DOES NOT PROVIDE MEDICAL ADVICE. This content is provided for informational purposes and reflects the opinions of the author. It is not a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare professional regarding your health. If you think you may have a medical emergency, contact your doctor immediately or call 911.


Daniel Elliott, MD

Daniel Elliott, MD, is an associate professor of urology with a focus on pelvic and reconstructive surgery at Mayo Medical School in Rochester, Minn. View his Healthgrades profile >

Was this helpful? (28)
Publish Date: Jan 8, 2016

© 2016 Healthgrades Operating Company, Inc. All rights reserved. May not be reproduced or reprinted without permission from Healthgrades Operating Company, Inc. Use of this information is governed by the Healthgrades User Agreement.

View Sources

Medical References

Your opinion matters!



Please fill out this short, 1-3 minute survey about It's Time to Treat Overactive Bladder. Your answers are anonymous and will not be linked to you personally.

The survey will appear at the end of your visit.

Thank you!

A survey will be presented to you after you finish viewing our It's Time to Treat Overactive Bladder content.

You Might Also Like

Mind Over Bladder

Although overactive bladder is a very physical issue, it's possible to use mental strategies to control difficult urges.

Share via Email

PREVIOUS ARTICLE:

6 Myths About Overactive Bladder

NEXT ARTICLE:

Signs It's Time to Start Treating Overactive Bladder