Overactive Bladder (OAB)

Overactive bladder is a common condition in which there is a sudden intense urge to urinate. At times, it may be followed by an involuntary loss of urine (urge incontinence). Patients typically feel a bladder muscle contraction which gives a warning of only a few seconds to a minute to reach a restroom. The condition is also associated with frequent urination, and urination at night. This condition occurs in both men and women and increases with age. Although a cause is not always identified, onset of symptoms may occur after menopause, prostate problems, infections, neurologic injury such as stroke or multiple sclerosis, diabetes, prior surgery, radiation, and dietary issues.

First line treatment involves addressing any identifiable cause of symptoms, behavioral modification and diet change. There are a number of FDA approved medications for the treatment of this common condition. If symptoms persist, further workup with post void residual measurement, cystoscopy and complex urodynamics may be necessary. At West Coast Urology, we offer a range of advanced treatment options for the difficult to treat cases.

Percutaneous tibial nerve stimulation (PTNS) is a series of weekly treatments, similar to the concepts of acupuncture, that are performed in the office. Botox® injection in the bladder is another treatment option that may help improve symptoms for the next 3-6 months. InterStim™ sacral neuromodulation is an effective surgical treatment that is reserved for the most difficult cases.

For more in depth information on Overactive Bladder (OAB), please refer to this Urology Care Foundation™ link: Overactive Bladder (OAB): Symptoms, Diagnosis & Treatment