Overactive bladder


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All that you need to know about Overactive bladder for the common man

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Overactive bladder

  1. 1. DEPARTMENT OF UROLOGY EDUCATION Production Team Dr Abraham Benjamin - Manager Medical Informatics Mr. Naresh Kumar - Coordinator Medical Informatics Overactive Bladder
  2. 2. What is Overactive Bladder? Overactive Bladder (OAB) isn't a disease. It's the name given to a group of troubling urinary symptoms. The major symptom of OAB is a “gotta go” feeling,the sudden, strong urge to urinate that the patient can’t control.
  3. 3. Anatomy of the Urinary Bladder Male Urinary tract Female Urinary Tract
  4. 4. What are the Symptoms of Overactive Bladder ?  Urgency is considered the hallmark symptom of OAB, Urgency is currently defined by the International Continence Society (ICS),as "Sudden, compelling desire to pass urine that is difficult to defer.  Urinary frequency is considered abnormal if the person urinates more than eight times in a day.  Nocturia is a symptom where the person complains of interrupted sleep because of an urge to void.  Urge incontinence is a form of urinary incontinence characterized by the involuntary loss of urine occurring for no apparent reason.
  5. 5. What are the causes of Overactive Bladder ?  Normal Neurological Pathway : Then urine is stored in the bladder. When it isn’t full of urine, the bladder is relaxed. The nerve signals in the brain send a signal to the bladder that it is becoming full and the person feels the need to urinate.  In Overactive Bladder: The nerve signals between the bladder and brain are not in sync and the brain send signals to the bladder to empty it even when its not full.
  6. 6. How is Overactive Bladder Diagnosed ?  Overactive Bladder is diagnosed on the basis of history and duration of symptoms .  Investigations :  Voiding Diary ( Time and Amount chart).  Urodynamic Study.  Urine Cultures, Ultrasound scan and other imaging studies like Micturiting cystourethrograms to rule out any abnormal pathology of the urinary tract .
  7. 7. What are the Treatments available for Overactive Bladder?  There are several treatments available to help manage OAB.  Behavioral therapy: Lifestyle changes—known as “behavioral techniques”—are often the first treatments used to manage OAB. In behavioral therapy, you make some changes in the way you live day- to-day.  This may include changing your diet to see if less caffeine, alcohol, and spicy foods will reduce your symptoms. Behavioral changes may include going to the bathroom at scheduled times during the day, and doing “quick flick” Kegel exercises to relax your bladder muscle.
  8. 8. What are the Treatments available for Overactive Bladder?  Medications: There are several drugs available to relax the bladder muscle and stop it from contracting at the wrong times.  Most commonly used drugs are  Oxybutynin (Ditropan) prevents urge incontinence by relaxing the detrusor muscle.  Tolterodine (Detrol, Detrol LA) is indicated for the treatment of an overactive bladder with symptoms of urinary frequency, urgency, or urge incontinence
  9. 9. What are the Treatments available for Overactive Bladder?  Botox injections: Expanded use of Botox (onabotulinumtoxin A) is the new trend for the treatment of leaky bladder (overactive bladder) in adults who did not respond well to anticholinergics. By injecting Botox into the bladder muscle, the bladder relaxes and can store larger volumes of urine, resulting in reduced episodes of urinary incontinence.  Complex surgery like Clam Cystoplasty and other forms of bladder augmentation surgery .  The goal of any surgery to treat urge incontinence is aimed at increasing the storage ability of the bladder while decreasing the pressure within the bladder.
  10. 10. What are the Treatments available for Overactive Bladder?  Augmentation Cystoplasty is the most frequently performed surgical procedure for severe urge incontinence. In this reconstructive surgery a segment of the bowel is removed and used to replace a portion of the bladder.  Neuromodulation therapy: These treatments deliver harmless electrical impulses to nerves that can change how the nerves work. This type of therapy is used for patients when medications or behavioral therapies don’t work, or when patients have serious side effects from medications.
  11. 11. Important Information  If you need more details about this condition or meet our team of Urologists for Consultation click on the link below.  http://www.ramayyapramila.com/
  12. 12. Superior and Compassionate Care
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