Page 2 - Overactive Bladder
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Overactive bladder






        the time between voids. Contraction of the pelvic
        floor muscles, as if trying to avoid passing wind from    Notes / Diagrams:
        the bowel, may help suppress these urges.

        Medication


        There are a number of medications available to help
        control the symptoms of an overactive bladder.
        Generally, these medications work by blocking the
        nerve impulse on the bladder muscle, decreasing
        bladder activity and increasing storage volume. This
        often helps to decrease frequency and urgency to
        void.

        There are now many different medications available
        to treat overactive bladder and these can be taken
        as a pill or as a skin patch. These medications can
        have side effects, the most frequent of which is a dry
        mouth. Other side effects may include facial flushing,
        headache, dry eyes, constipation and abdominal
        pain.

        Often these medications will be needed for extended
        periods of time.

        Other treatments

        When the overactive bladder remains a problem
        unresponsive to medication several options are
        available. Injection of botulinum toxin A (i.e., Botox )
                                                       TM
        can relax the bladder muscle and improve bladder
        symptoms for several months.  This is typically done      Conclusion
        in a clinic as a simple outpatient procedure using
        local anaesthesia (i.e., you do not need to go            Overactive bladder is a common problem that
        asleep). Repeat injections may be needed. Another         can have a negative impact on your quality of life.
        procedure involves surgically implanting a device         Fortunately, it can often be helped with lifestyle
        similar to a pacemaker for heart patients. This device    changes and with certain medications to relax the
        will generate mild electrical pulses to regulate          bladder.
        the nerves of the bladder and control symptoms
        (neuromodulation).



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        The information in the publication is not intended to convey medical advice or to substitute for direct consultation with a qualified medical
        practitioner. The Canadian Urological Association disclaims all liability and legal responsibility howsoever caused, including negligence, for the
        information contained in or referenced by this brochure.                                   cua.org            23E-OABE-07-14
        © 2014. Canadian Urological Association. All rights reserved.
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