Urinary urgency, frequency, nocturia: if this is you, you should watch this video because you may be suffering from overactive bladder syndrome. In this video on UroChannel Dr. med. Dr. phil. Stefan Buntrock, a board-certified urologist and sexologist from Göttingen explains Overactive Bladder (OAB), a condition affecting 16.5% of the US population, particularly those over 65. OAB is characterized by a sudden, uncontrollable urge to urinate, often due to abrupt bladder muscle contractions. It's crucial to rule out other conditions like bladder infections or cancer, though many causes remain unidentified. Research suggests oxidative stress and reduced blood supply to the bladder might be contributors.
Managing OAB starts with lifestyle changes. Diet plays a significant role: caffeine, alcohol, spicy foods, and artificial sweeteners can irritate the bladder, while balanced hydration is essential. Maintaining a healthy weight through regular exercise also helps alleviate symptoms. An interesting tip to manage urgency is to rub your earlobe, which can inhibit bladder signals.
Medical treatments primarily include anticholinergics, effective against bladder muscle overactivity but often causing side effects like dry mouth or constipation. Elderly patients should be cautious due to potential cognitive impacts. Another option is Botox injections into the bladder wall, which reduce urgency and frequency for several months but require periodic repetition.
Emerging treatments like shockwave therapy show promise. Traditionally used in urology for conditions like erectile dysfunction, shockwaves are now being explored for OAB. Studies, including one from Taiwan with 82 patients, have demonstrated significant improvements in bladder capacity, frequency, urgency, and nocturia after several sessions. Shockwave therapy's non-invasive nature and minimal side effects make it an attractive alternative.
OAB can significantly impact quality of life, affecting sleep, work, and social interactions. If you experience symptoms like urgency, frequency, or incontinence, consult your local urologist for a personalized treatment plan.
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