Overactive bladder

An overactive bladder is called when the muscles of the walls begin to contract unexpectedly and uncontrollably. Because of this, urination is frequent and uncontrollable. Patients complain about:

  • strong desire to urinate;
  • frequent visits to the toilet;
  • night urination;
  • urinary incontinence;
  • pain when urinating.

This is not a consequence of any pathological condition. Not dangerous, but worsens the quality of life. A urologist can help - listen to complaints, conduct an examination and tell you what studies need to be done to confirm or exclude the diagnosis. Based on the results, he will choose a treatment plan. This can be medication or surgery.

In the department of urology of the multidisciplinary medical center "K + 31", highly qualified doctors have been treating conditions of overactive bladder for more than 14 years. Internships in leading clinics in European countries allow you to adopt modern experience for diagnosis and treatment. This helps to select therapy individually for each patient. Diagnostics is carried out on equipment from leading manufacturers of medical equipment. Thanks to this, the results are accurate, which increases the chances of recovery.

Causes of an overactive bladder

The following reasons affect the contraction of the walls of the bladder:

  • Changes in the functioning of the nervous system - Parkinson's disease, strokes, multiple sclerosis, or other neurological disorders.
  • Chronic pyelonephritis, which is an inflammatory disease of the urinary tract.
  • Tumors in or near the bladder.
  • Taking certain medications, such as diuretics or sedatives.
  • Obesity leads to pressure on the bladder, which impairs urinary control.
  • Urinary tract infections cause inflammation of the bladder and increase its sensitivity.
  • Spinal cord injury damages the nerves that control function.
  • The decrease in estrogen levels in women during menopause leads to changes in muscle tone.

In order to find out the cause, you need to consult a urologist. Based on laboratory and instrumental studies, the doctor determines what caused the symptoms. If necessary, it suggests which specialists need to be consulted additionally.

Risk factors for men and women

Risk factors for overactive bladder differ between men and women.

Risk factors in women

  • Menopause and a decrease in estrogen levels, which leads to a decrease in bladder muscle tone.
  • Childbirth - damage to the tissues of the pelvis and changes in muscle tone.
  • Chronic urinary tract infections such as cystitis
  • Obesity increases pressure on the bladder.

Risk factors in men

  • Infectious or other diseases of the prostate that increase the size of the organ and reduce the ureter.
  • Benign prostatic hyperplasia shrinks the ureter and increases pressure on the bladder.
  • Age-related changes in nervous system function.
  • Obesity

It is worth noting that some common risk factors for overactive bladder include:

  • diabetes mellitus;
  • drinking alcohol and coffee;
  • spicy and spicy food;
  • certain medicines;
  • stress;
  • Reduced physical activity.

To find out the likelihood of developing an overactive bladder, make an appointment with a urologist at the multidisciplinary medical center "K + 31". When you meet, tell us what symptoms are bothering you. Doctors have been working with this problem for more than 14 years and will help you figure out if there is a possibility of this condition.

Symptoms

Manifestation varies between men and women, but common symptoms include:

  • Frequent urination (more than 8 times a day).
  • Sudden urge, may be accompanied by incontinence.
  • Nighttime urination (more than once a night).
  • Urine in small portions, despite feeling full.
  • Pain in the bladder or lower back.
  • Sometimes urination is painful and accompanied by burning.

In men, additional symptoms include:

  • pain or discomfort in the scrotum or perineum;
  • Weak or intermittent urine flow and a feeling of incomplete emptying of the bladder.

If you suspect an overactive bladder, do not endure discomfort, consult a urologist for diagnosis and treatment.

Prevention

There are recommendations that help prevent the development of the disease. Necessary:

  • Drink enough water to stay hydrated. Avoid drinking plenty of fluids before bed to prevent frequent nighttime urination.
  • Reduce alcohol, caffeine and other drinks that irritate the bladder.
  • Maintain a healthy weight, as being overweight puts pressure on the organ.
  • Check your habits, avoid overfilling, and empty your bladder regularly.
  • Give the body physical activity such as walking, swimming, or yoga to strengthen the pelvic muscles.
  • If there are signs of a urinary tract infection, see a doctor and treat it as recommended.
  • Keep track of your stress levels and learn relaxation techniques such as meditation or deep breathing.
  • Discuss with your doctor the use of diuretics or other medications if you are at risk of developing an overactive bladder.

Seeing a doctor at an early stage of the disease increases the chances of recovery and reduces the likelihood of complications.

Diagnostic methods

Diagnosis of an overactive bladder includes the following methods:

  • Physical examination and history taking: Your doctor asks questions about your symptoms, medical conditions, and medications you take. This helps to identify factors that affect bladder function.
  • Ultrasound of the pelvic organs: ultrasound reveals changes in the structure of the pelvic organs.
  • Urodynamic study: pressure in the bladder is measured. The flow rate of the jet, the volume of urine and the nature of the urinary curve are evaluated.
  • Urine test: A urinalysis shows infection or other diseases that lead to overactive bladder symptoms.
  • Cystoscopy: the doctor examines the bladder with a special tube with a camera at the end. Detects tumors or other abnormalities.
  • Computed tomography (CT): CT is done to rule out other conditions that mimic the symptoms of an overactive bladder, such as stones.

The diagnosis and choice of treatment method is established by the doctor after a comprehensive analysis of the symptoms and research results.

Treatment

There are several treatments, depending on the cause and severity of the symptoms. These include:

  • Lifestyle changes - reducing fluid intake, coffee, alcohol and spicy foods. Regular urination, weight control and exercises to strengthen the muscles of the bladder.
  • Drugs - anticholinergics, beta-3 blockers, phosphodiesterase inhibitors, and other drugs prescribed by a physician.
  • Neurostimulation - uses electrical current pulses to stimulate the nerves in the bladder.
  • Botulinum toxin injections reduce bladder muscle contractions.
  • Surgical treatment - in some cases, surgical treatment is required, for example, resection of the bladder, placement of a urinary catheter. Interstitial cystitis is eliminated by removing damaged tissue.

Treatment for an overactive bladder is determined by a doctor after diagnosis and assessment of the severity of the symptoms.

Benefits of treating an overactive bladder at the K+31 medical center in Moscow

K+31 Clinic provides highly qualified medical care for the treatment of overactive bladder, provides patients with many benefits:

  • Experienced specialists: the clinic employs qualified urologists, professors, candidates and doctors of medical sciences. Over 14 years of diagnosing and treating overactive bladder.
  • Modern methods of treatment - neurostimulation and injections of botulinum toxin show good results in the treatment.
  • Individual approach to each patient։ doctors develop an optimal treatment plan, taking into account the characteristics of the state of health.
  • Modern equipment - allows for accurate diagnosis and effective treatment.
  • Comfortable conditions of stay.

Make an appointment with a urologist at the clinic. Operators will talk about the services and promotions of the clinic. They will help you choose a convenient day and hour for your appointment. For more information about the department of urology, read the website of the clinic. There you can get acquainted with the doctors and, if you wish, make an appointment using the feedback form.

Do not postpone a visit to the doctor, the disease is easier to prevent than to treat complications later.

Service record

Services



Specialists

All specialists
Rasner
Pavel Ilyich

Consultant in urology, urologist

Doctor of Sciences, PhD, professor

Osmolovsky
Boris Evgenyevich

Head of the Department of Urology, Urologist

PhD

Tereshchenko
Suren Alexandrovich

Doctor urologist-andrologist

Doctor of Sciences, PhD

Kamalov
Armais Albertovich

Chief Consultant in Urology, Urologist

Academician, professor, Doctor of Sciences, PhD

Pshikhachev
Ahmed Mukhamedovich

Urologist, Oncologist

Doctor of Sciences, PhD

Gomberg
Mikhail Alexandrovich

Dermatovenereologist

Doctor of Sciences, PhD, professor

Marchenko
Vladimir Vladimirovich

Leading urologist-andrologist, urogynecologist, pelvic pain specialist