Diagnosis and therapy
A valuable basis for the diagnosis of overactive bladder is formed by micturition diaries, in which those affected record, among other things, the amount drunk, the frequency and the interval between toilet trips over several days. Such diaries provide important insight into the symptoms and help physicians to make concrete assessments and prescribe individualized therapy.
The following therapy methods can be applied:
- Bladder and toilet training
Sufferers try to extend the time between toilet visits in order to regain more control.
A special pelvic floor training should help to train the bladder muscle. It is important that the exercises are done regularly.
Can help with urge problems or incontinence to better perceive or tense the pelvic floor.
With the help of special agents, the contraction of the bladder muscles can be weakened. Occurring side effects and contraindications often result in poor compliance, often the therapy is terminated by the patients.
- Bladder Instillation
Medication is placed in the bladder to soothe the mucous membrane.
- Botox® injections in the bladder wall
To weaken the muscles of the bladder, the neurotoxin Botox® is sometimes injected into the wall of the bladder. Many affected individuals reject this treatment option due to possible consequences (catheterization of the urinary bladder).
- Surgical insertion of a neurostimulator
In this process, current pulses are delivered through electrodes attached to the nerve roots, which happens through an inserted generator. This stimulates the bladder.
If none of the aforementioned therapeutic methods are effective, the bladder can be surgically replaced or enlarged.
- The FemPulse System: Non-invasive neuromodulation as an alternative to surgical procedures
The FemPulse System: Non-invasive neuromodulation as an alternative to surgical procedures The FemPulse System does not need to be implanted and is used or controlled by the patients themselves.