Overactive Bladder (OAB)

A condition characterized by a sudden and uncontrollable urge to urinate, often accompanied by increased frequency and, in some cases, urgency incontinence (leaking urine). OAB affects a significant number of women in the United States.

Estimates suggest that around 12-16% of adult women may experience symptoms of OAB and many report that it significantly affects daily life and activities. 

Symptoms

  • Urinary Urgency: A strong, immediate need to urinate that can be difficult to postpone.

  • Increased Frequency: Needing to urinate more often than usual, typically more than eight times in 24 hours.

  • Nocturia: Waking up multiple times at night to urinate.

  • Urgency Incontinence: Involuntary loss of urine that occurs after a strong urge to urinate before the ability to get to a restroom.

Causes

The exact cause of OAB isn't always clear, but it can result from a variety of factors, including:

  • Neurological Conditions: Such as multiple sclerosis, stroke, or Parkinson's disease.

  • Bladder Disorders: Inflammation or infection (e.g., cystitis).

  • Aging: Muscle tone and bladder capacity can change with age.

  • Hormonal Changes: Especially in women, related to menopause.

  • Certain Medications: That affect bladder function.

Diagnosis

Diagnosis typically involves a medical history review, physical examination, and possibly tests like a urine analysis or urodynamic studies to assess bladder function.

Treatment

  • Lifestyle Modifications: Dietary changes, bladder training, and pelvic floor exercises.

  • Medications: Anticholinergic medications to reduce urgency and frequency.

  • Physical Therapy: Pelvic floor therapy to strengthen muscles.

  • Neuromodulation: Techniques to regulate nerve signals to the bladder.

  • Surgery: In severe cases, procedures may be considered.

  • Morpheus 8v

Treatment options may include:

When to Seek Help

If you suspect you have OAB or are experiencing related symptoms, it's advisable to consult a healthcare provider for proper diagnosis and treatment options.