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Overactive Bladder

An overactive bladder is an issue that affects around 20% of the population and in recent years due to development of knowledge and expertise in the treatment of this, London Urology Associates (LUA) have established a respected group of professionals who are experts in the management of this issue.

Overactive bladder, or urinary incontinence, manifests most commonly as an unintentional and repetitive urge to urinate with little warning and in some cases a discharge of urine – this is known as incontinence.

Although the cause of the bladder muscle being overactive is unknown, there are a variety of known risk factors which influence the likelihood of developing an overactive bladder.

People who suffer from this issue are often embarrassed and suffer in silence. However, an overactive bladder is very common and here at London Urology Associates we have a commitment to working professionally and are committed to finding a suitable diagnosis and treatment plan to suit your individual needs. Please do not hesitate to contact us if you feel you may be affected by an overactive bladder.

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Common Overactive Bladder Symptoms

Causes of Overactive Bladder

Overactive Bladder Elevated Risk Factors

Diagnosis of an Overactive Bladder

Overactive Bladder Treatment

Dedicated Overactive Bladder Specialist

Contact the LUA

 

Common Overactive Bladder Symptoms

Common symptoms of an overactive bladder include:

  • Sudden need to urinate
  • Need to urinate when moving movements
  • Need to urinate with sound of water
  • Need to urinate during sexual intercourse
  • Need to urinate during sleep
  • Pass of fluid when sneezing
  • Pass of fluid when coughing
  • Pass of fluid when laughing

Urge incontinence: This is when a sudden and very immediate need to urinate to the intensity that going to the toilet cannot be delayed, with the time before pass of urination only being a few seconds. This may be triggered by movement, the sound of water and even during sexual intercourse commonly at the point of orgasm. This can also lead to you needing to pass urine consistently whilst trying to sleep, known as nocturia.

Stress incontinence: Triggered by such things as sneezing, coughing, exercise, lifting, laughing and sudden movements, Stress incontinence is caused by your bladder being subject to a sudden additional pressure, which it is not used to such as that of sneezing or coughing. Although when urine is passed with stress incontinence it is normally small, if the bladder is full this could lead to a larger discharge.

Causes of Overactive Bladder

Although the cause of an overactive bladder is not definitively known, there is some known factors which increase the likelihood of bladder muscles becoming overactive, including, but not limited to:

  • Neurological issues (For example MS, Alzheimer’s and Strokes)
  • Diabetes
  • Side effects of medication
  • Men with prostate problems
  • Caffeine and alcohol
  • Aging causing a reduction in cognitive function
  • Bladder not completely emptying

Overactive Bladder Elevated Risk Factors

There is also a selection of characteristics which statistically make you more susceptible to an overactive bladder, however, if you have any of the symptoms outlined or believe you may have an overactive bladder it is best to be precautious and undertake diagnosis.

Characteristics that may increase your susceptibility to an overactive bladder include but are not limited to:

  • Age – this is increasingly common as you become middle aged and is found most commonly in people over the age of 80.
  • Genetics – If overactive bladders are common in your family there is a genetic link to you and you may be at a higher risk to experience this problem.
  • Other medical conditions: Overactive bladder may be triggered by other issues in the urinary tract, especially those which target the bladder or urethra.

Diagnosis of an Overactive Bladder

At LUA, our aim is to make this difficult process as relaxing and comfortable as possible. We will be at hand every step of the way and will work to determine if you have an overactive bladder in a respectful and professional way.

If you experience any of the above symptoms, are at an increased risk factor or feel you may have an overactive bladder for any other reason, the first step would be to reach out to LUA, where our team of experts in this field will use such methods as simple questions and a bladder diary to diagnose the initial conditions.

If we require further investigation, a simple physical examination will take place which may be followed by a dipstick test if it is thought to be because of an infection or a residual urine test, which will examine if your bladder is emptying correctly. Cystoscopy may also be used which allows our experts to examine your bladder and a Urodynamic test can be used to examine the bladder and urethra.

The diagnosis process of an overactive bladder is very routine - our doctors are experts in this field so rest assured that you are in the best hands to address any findings of your diagnosis.

Overactive Bladder Treatment

Every treatment plan is individual to the patient so specific treatment plans will be provided by your specialist, however, common treatments may include:

  • Pelvic floor muscle exercises
  • Electrical stimulation
  • Biofeedback
  • Vaginal cones
  • Bladder training
  • Incontinence devices
  • Medication
  • Lifestyle changes

If you are not suitable for non-surgical treatments, there is still a wide selection of routine procedures which can reduce or remove your symptoms. Your doctor will be able to discuss these with you in detail, should you require them.

Dedicated Overactive Bladder Specialist

LUA are proud to bring together some of the world’s best doctors, consultants and specialists in one place, with a commitment and dedication to providing exceptional care from start to finish, we are confident that you will be comfortable and happy during your care with us.

Mr. Dan Wood has a vast amount of both scientific and clinical understanding of the mechanisms of detrusor over-activity, which allows an in-depth approach towards any patients; problems. Beginning with conservative non-invasive treatments advancing through to major reconstructive surgery where required.

Contact the LUA

If you have any concerns, no matter how small or large, please do not hesitate to contact our friendly specialists who are happy to answer any questions or queries you may have. Call 02072245089, or you can book an appointment online.

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