- May 31, 2020
- Posted by: Prof Dr Coşkun Şahin
- Category: Bladder Diseases
What Is Overactive Bladder?
Urgent urge to urinate without urinary tract infection or a visible-known urinary bladder disease. The patient’s desire to go to urine comes suddenly before his bladder is full and cannot stop. With it, you can urinate frequently and pass urine at night.
Urinary bladder location
Bladder contracting before it ﬁlls
Is it more common in men or women?
It appears more frequently in women. Also, the urinary incontinence complaint appears to be about 3 times more in women than in men. Frequency of occurrence;
Does overactive bladder affect your normal life?
Unfortunately yes. Sudden urge to urinate, fear of incontinence, frequent urination may cause anxiety, embarrassment, and social and working life may be affected.
What are the risk factors for this disease?
Bladder infections, inﬂammations
Urinary tract obstruction
Central nervous system diseases
Having given birth in a normal way
What Tests are Made for the Diagnosis?
After a detailed interview and story, a physical and neurological examination is performed. According to the severity of the disease and in order to distinguish the diseases that can be confused, the following tests are performed;
Which Diseases Have Similar Complaints?
Similar complaints can be seen in many diseases, from a simple urinary tract infection to bladder cancer. Apart from that, similar complaints can be seen in the following diseases;
– Some medicines
Can I recover without taking any medication?
Yeah. There are some behavioral treatments and treatments for pelvic ﬂoor muscles. These treatments are successful with the coordinated and periodic work of the doctor and patient. In addition, some medicines to be used with these treatments increase the chance of success.
Are There New Medicine?
Yes, recently adrenergic agonists (mirabegron) have been added to anticholinergic treatments used for years. These drugs are more speciﬁc to the urinary bladder and the results are satisfying.
What Treatments Are Outside the Surgery?
Tibial Nerve Stimulation Applied from the Skin
It is a treatment that can be applied anywhere without any anesthesia. It is not a painful procedure. It is applied to the nerve (tibial nerve) in the lower part of the leg with a very thin needle. It is necessary to apply it for a few weeks once a week and the application time is 30 minutes. With this treatment, 60% of patients’ complaints improve.
Bacağın ve ayağın iç yüzüne yerleştirilen ince bir iğne ve probla ciltten uygulanan nöromodülasyon
It is a kind of surgical procedure. Probes that will stimulate the nerves from the waist are placed under the skin.
Response is received within 2 weeks after application to the bladder. Approximately 60-75% of patients beneﬁt from treatment. The effect of a single application can last 1 year and can be reapplied after 1 year.
Botox drug is applied to 20 different points of the bladder by entering the urinary bladder. The course of treatment is about 15 minutes.
What are the Surgical Treatment Options?
The following treatment options can be applied to patients who do not beneﬁt from any treatment and whose complaints continue. However, since these surgeries are major surgeries, they should be selected in patients who have a lot of complaints.
Enlargement of the bladder Making bladder from intestines