Bladder Disorders
What is Overactive Bladder (OAB)?
overactive bladder (OAB); It is a disease in which the person complains of sudden urgency, frequent urination day and night, and urinary incontinence with the feeling of sudden urgency that can be seen in some patients without an underlying cause. OAB findings are seen in 17% of the population on average. This disease, which is more common in women than in men, increases with age in both sexes. OAB affects social life as well as physical effects such as frequent urination and urinary incontinence. Frequent urination disrupts sleep quality and causes problems such as daytime sleepiness, distraction, and decreased work efficiency.
How Is Overactive Bladder Diagnosed?
The first step in the diagnosis of OAB is the patient's history and physical examination. If necessary, urinalysis, ultrasonography, uroflowmetry, urodynamics, and cystoscopy can be performed to distinguish it from diseases with similar findings. What are the Treatment Methods in Overactive Bladder? regulation of fluid intake; Adequate (minimum 1.5 lt/day) and regular fluid intake Restricting fluid intake before long trips and before going to bed at night Restricting drinks with diuretic effects such as tea, coffee and alcohol Avoiding artificial sweeteners (aspartame, etc.) Removing carbonated drinks and some foods (extremely spicy foods, citrus fruits, tomatoes, etc.) from the diet Weight control is especially effective on urinary incontinence. Exercises to strengthen the pelvic floor muscles Drug Treatment The aim of drug therapy is to stop the sudden involuntary contractions in the bladder muscles, to increase the bladder capacity and to prevent urinary incontinence.
In this procedure, which has an activity that lasts for about 6-12 months, it is aimed to reduce the involuntary bladder contractions of the patients and to increase the bladder capacity; In this way, complaints such as frequent urination and urinary incontinence are improved. Bladder Augmentation Surgery It is a method that is rarely used in severe and resistant cases where other treatment methods have failed.