Traditional treatments are often inadequate
If the constant urge to urinate is not accompanied by any physical changes, the doctor must offer a diagnosis of exclusion. Bladder diaries, in which patients record how much they drink, how often they urinate, the time between each urination, etc. over several days, are a valuable basis for diagnosis and may provide important insight for bladder and toilet training. As part of the diagnosis, patients answer questionnaires about their drinking behavior, the type and duration of symptoms, possible other complaints, concomitant diseases or previous operations. A physical examination is then carried out to rule out urinary tract infections and other diseases.
The following treatments are possible
- Bladder and toilet training
The affected person tries to prolong the time between trips to the toilet in order to regain more control.
Specific pelvic floor exercises are done to train the bladder muscles. It is important that the exercises are done regularly for the therapy to be effective.
Can help with tensing and improve awareness of the pelvic floor to resolve urge complaints or incontinence.
Certain active ingredients can help reduce the contractions of the bladder muscles. Generally, so-called anticholinergics and locally applied estrogens are the remedies of choice. Possible side effects and contraindications can often cause poor compliance. Over 70% of users stop taking the medication of their own accord within a year.
- Bladder instillation
Medication is introduced into the bladder to soothe the mucous membrane.
- Botox injections into the bladder wall
To weaken the muscles of the bladder, the nerve toxin Botox is sometimes injected into the wall of the bladder. Many affected people refuse this treatment option because of possible consequences (catheterization of the bladder).
- Surgical insertion of a neurostimulator
During this procedure, electrodes attached to the nerve roots emit electrical pulses, powered by an inserted generator. This stimulates the bladder. The battery has a shelf life of about 2 years.
It is possible to surgically replace or expand the bladder, if none of the above-mentioned treatments work.
- FemPulse – Neuromodulation as the treatment of the future
Clinical studies have shown the FemPulse portable neuromodulation device to be a safe and convenient way of treating OAB. The medical device does not need to be implanted and is applied and controlled by the patient herself.