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.
- 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.
- 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.
- 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.
- 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.
- 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.