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5 Therapeutic options for overactive bladder

5 Therapeutic options for overactive bladder

Overactive bladder is mainly manifested with frequent and sudden urge to urinate. This health issue has a great impact on the patient's life, especially on the social aspect. So we will highlight the most significant available therapeutic options for overactive bladder.

  1. Changes in the patient's life style: mild cases of overactive bladder is initially managed by applying some changes is the patient's life style, such as:
  • Drinking fluids should be avoided 2-3 hours before bedtime.
  • Drinking soft beverages and caffeine drinks is forbidden.
  • Doing Kegel exercises are necessary to strengthen muscles of pelvic floor which help in controlling urination and prevent urine leak.
  1. Medication: anticholinergic drugs may be prescribed for management of overactive bladder, but it should be noted that administration of these drugs may involve side effects, such as; dry mouth, dry eye and constipation. Also, some patients may not respond to these drugs.
  2. Sacral neuromodulation: this procedure involves placing an implant under skin near the sacral nerve (in the lower back) to produce continuous low-level stimulation to the sacral nerve, which in turn control the urinary bladder and manage overactive bladder.
  3. Percutaneous tibial nerve stimulation: it's an invasive procedure in which the doctor stimulates the posterior tibial nerve (lies above the ankle) by a fine needle to control overactive bladder. To achieve a satisfactory result, this procedure should be done 30-60 minutes weekly for 12 weeks.
  4. Botox: this procedure involves injecting Botox (botulinum toxin) into the walls of urinary bladder, which produce paralysis of the muscles of the bladder walls, which in turn prevent overactive bladder.
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