Overactive Bladder is when the bladder muscle squeezes too often or when you don’t want it to. It can be a nuisance and affects your quality of life. It may cause depression and inhibits people from enjoying social activities.
- Going to the bathroom more than 8 times in a 24hour period.
- Waking up at night to go to the bathroom- more than 2 times.
- Having strong, sudden urges to urinate especially when associated with certain triggers for example ” key in the lock”
- Having wetting accidents – may be very small to large amounts in volume.
Symptoms of Overactive Bladder (OAB) often are preceded by Urgency which is the sudden and compelling desire to urinate that is difficult to overcome. In some cases may lead to incontinence.
Causes of overactive bladder. Symptoms may increase with dietary irritants such as, Caffeine intake, Carbonated beverages, spicy or citrus foods, Artificial Sweeteners and Alcohol.
Presence of a urinary tract infection, chronic anxiety, learned voiding dysfunction, For women lack of estrogen.
Pelvic Floor weakness also has contributing factors and certain neurological conditions such as Multiple Sclerosis, Parkinson’s or injury.
Fortunately there are several options to choose from in effort to help get relief from OAB. Sometimes it may take a combination of treatments.
Options for Treatment may include:
Pelvic Floor Therapy or Rehab- (kegels)- By performing quick flicks this will help calm the urge and strengthen the muscles that help hold urine in the bladder.
Bladder Training– Retraining your bladder by delaying urination so you are voiding every 3-4 hours during the day. Gradually increasing the time between voiding. Use of distraction and deep breathing is helpful.
Lifestyle Changes- Watching what you are drinking.( Avoid too much or too little) Increasing water intake and limiting caffeine, alcohol, citrus drinks and fruits, imitation sweeteners, carbonated drinks, and spicy foods. Also watching your weight and stop smoking.
Avoid constipation- Increasing fluid intake and having regular bowel movements.
PTNS-The Urgent PC Neuromodulation System provides non-drug, non-surgical treatment for Overactive Bladder (OAB) symptoms. This treatment is sometimes referred to as percutaneous tibial nerve stimulation (PTNS).
Medications- There are several medications you can try.
Interstim- Neuromodulation therapy that targets the communication problem between the brain and the nerves that control the bladder
Botox- Helps prevent the chemical messenger acetylcholine from signaling the bladder muscles, reducing the over activity of the bladder muscle.
Pacific Urology is leading a clinical trial on a new treatment
If you have tried the above conservative therapies and you still have your symptoms, you could consider participating in a clinical trial for a new treatment device. Dr. Parminder Sethi is leading the clinical investigation of this new technology.
The device is an implantable tibial nerve stimulator (ITNS), a miniature, self-powered unit placed in the lower leg under local anesthesia. The ITNS has a projected battery life between 7-10 years and requires no patient activation or recharging. The U.S. Food and Drug Administration (FDA) has approved this first human study of the ITNS. The ITNS is not approved for commercial distribution and is limited to investigational use.
Dr. Sethi is a diplomate of the American Board of Urology since 2000. He is currently a fellow of the Royal College of Surgeons. He completed his urology residency at Ohio State University and is fellowship trained in neuro-urology and incontinence at the University of Iowa Hospitals and Clinics. Dr. Sethi is one of a few urologists who specialize in the use of advanced technology to treat incontinence and overactive bladder, and was instrumental in developing Pacific Urology’s Continence Center.
For more information or to schedule an appointment to learn if you are eligible for the ITNS study, contact us online or call our office at 925-937-7740.