Why Choose Cedars-Sinai Marina del Rey Hospital for Overactive Bladder Treatment?
Our team of experts uses the most innovative and effective methods in order diagnose and treat a wide range of conditions, including overactive bladder syndrome. Upon identifying and assessing your symptoms and your underlying affection, our specialists will formulate the most appropriate treatment plan in order to relieve your symptoms.
Overactive bladder, also known as overactive bladder syndrome, is a condition in which the bladder contracts suddenly, leading to a frequent sensation of needing to urinate. This can result in the involuntary loss of urine (loss of bladder control), which is also known as urge incontinence.
A study that has been conducted in the United States has estimated that about one in six adults have reported some of the symptoms associated with an OAB, and about one in three people with an OAB have also experienced episodes of loss of bladder control. It has also been estimated that this condition is more common among women, especially when associated with episodes of loss of bladder control.
An overactive bladder can have a negative effect on a person’s quality of life, as it can cause one to feel embarrassed, or to feel the need to isolate themselves, therefore having a negative impact on their social life as well. The cause of an overactive bladder is not clear, but it has not been linked to other urological problems.
Surgical Procedures Performed at Cedars-Sinai Marina del Rey Hospital for Overactive Bladder
If the other methods of treatment failed to work for you or they did not have the desired effect, there are certain surgical procedures that you can opt for such as:
- Surgery for increasing your bladder capacity: This is an intervention which aims to improve your bladder’s capacity to store an increased volume of urine, and to help reduce the pressure. During this procedure, the surgeon will have to use a piece of your bowel to replace a part of your bladder, thus increasing its size. Having this surgery may also cause you to require a catheter which you will need to empty your bladder.
- Bladder removal: Undergoing this procedure should only be considered if nothing else works, as it involves the complete removal of your bladder. Undergoing this surgery will require the creation of a new way for you to pass urine, which is most commonly done by creating a substitution bladder, also known as a neobladder.
Drugs and Other Treatments Needed for Overactive Bladder
A good strategy in combating the symptoms of an OAB can be the combination of different treatment methods:
Nerve Stimulation Therapy »
Bladder Injections »
Behavioral Modifications »
There is only one type of overactive bladder. OAB is not an actual disease, but the name that was given to a group of urinary symptoms. The most common of these symptoms is feeling a sudden urge to urinate that you are unable to control. One other similar and common bladder problem is known as stress urinary incontinence (SUI), but the difference between the two is that people with this condition may leak urine during physical activities, or while sneezing.
Symptoms of Overactive Bladder
The most common symptoms related to an overactive bladder are:
- The urgency to urinate or feeling a sudden urgent desire to go to the toilet.
- Having to urinate often, sometimes as often as fifteen times in a single day.
- Waking up to go to the toilet more than two times during the night, a phenomenon that is also known as nocturia.
- Leaking urine before you get to the toilet, also known as urge incontinence. This symptom does not occur in all cases.
Diagnosis of Overactive Bladder
In order to diagnose OAB, your doctor will perform a careful physical examination, focusing on your abdomen and genitals, and will also ask some questions about your symptoms. A urine sample might be required to test for infections or other abnormalities. Your doctor may also order some urodynamic tests in order to measure the levels of urine left in the bladder, the urine flow rate and to check the bladder pressure. As soon as your tests will be reviewed, your doctor can prescribe the adequate treatment.
Risk Factors for Overactive Bladder
There are several risk factors that may contribute to the development of OAB, for example:
- Neurological disorders such as strokes;
- Urinary tract infections that may cause similar symptoms to an OAB;
- Excessive consumption of caffeine or alcohol;
- An enlarged prostate that can obstruct urine outflow;
- Bladder and kidney stones;
Causes of Overactive Bladder
Although it is not clear what causes an overactive bladder, this affection will often be associated with the overactivity of the bladder muscles. In addition to that, OAB symptoms have also been associated with:
- Aging: The bladder of women undergoes certain changes after menopause;
- Being overweight: Carrying extra weight will put more pressure on the bladder;
- Nerve damage: Nerve signals are responsible for controlling the impulses sent to the bladder when it is time to urinate;
Alternative treatments can be helpful when trying to alleviate pain and other symptoms caused by an OAB. Some patients have found these alternative treatment approaches beneficial, despite the fact that these treatments have not been scientifically proven to work. Some of these natural remedies include:
- Acupuncture: This technique was first developed in China and it involves the careful insertion of very fine needles into precise pressure points throughout your body in order to relieve local pain. The practitioner will decide to insert multiple needles, which remain in your body for about 30 minutes. This method will trigger the release of endorphins and serotonin into your blood that can help relieve the pain.
- Japanese herbal blends: People who consumed a blend of traditional Japanese herbs, such as gosha-jinki-gan (GJG), have noticed an improvement in their urinary frequency; although a small number of them have reported some adverse effects such as diarrhea and nausea.
- Magnesium: Consuming foods rich in magnesium like spinach, black beans, avocados, and bananas can be beneficial, as magnesium helps reduce the detrusor muscle’s spasms.
There are certain lifestyle changes you can make that may help with preventing OAB:
- Maintain a healthy weight because overweight people tend to be at a greater risk of developing OAB.
- Don’t restrict fluid intake because if you don’t consume enough liquids, your urine will become more concentrated and this will irritate your bladder.
- Limit the intake of foods and drinks that can irritate your bladder as some foods and drinks, especially carbonated drinks, chocolate, corn syrup, spicy foods, and sugar can worsen the symptoms related to OAB.
Do you suspect you might have OAB? You can always learn more about urinary problems and how to treat and cure them by getting in touch with our highly-skilled specialists at Cedars-Sinai Marina del Rey Hospital.