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A. The bladder is the organ which stores urine produced by the kidneys. It is a muscle in the shape of a bag which can hold around 400 millilitres of urine.
Most people become aware their bladder is filling when it is half full. In order to empty the bladder, you have to be able to relax. This usually means being in a socially convenient environment, such as a toilet or a private space. The brain will then send a signal to the bladder to start squeezing out the urine.
How often you urinate depends on many factors, but one in particular is how much you drink. Most people urinate less than 8 times during the day, and either not at all or once during the night.
A. Overactive bladder syndrome (OAB) is a common condition and can affect both men and women. Between 10 and 20% of people suffer from it at some stage in their lives. This syndrome is characterised by the presence of urinary symptoms that include:
A. The precise cause of overactive bladder syndrome is not well understood and is still under investigation. Several factors may be involved and the main one may vary from individual to individual.
A. When OAB symptoms are present, your doctor might need to rule out other possible explanations for the symptoms, such as urinary infection or diabetes.
First, the doctor will take your medical history and do a physical examination. If needed, other tests will be performed.
Medical history
The doctor might take a detailed medical history and ask questions about your symptoms like:
Physical examination
Your doctor will do a general physical examination focussing on:
Urine test
You will need to give some of your urine for testing. The test will show if you have a urinary tract infection and if there are traces of blood or sugar in the urine.
Bladder diary
Your doctor may ask you to keep a bladder diary. Here you can note down how much you drink, how often you urinate, and how much urine you produce. The bladder diary is important because it helps your doctor to understand your symptoms better.
Uroflowmetry
Uroflowmetry is a simple test that electronically records the rate of urine flow. It is easily done in privacy at the hospital or clinic. You will urinate into a container, called a uroflowmeter. This test helps your doctor to check whether there is any obstruction to the flow of urine.
Imaging of the bladder
You might get an ultrasonography (also known as ultrasound), which uses high-frequency sounds to create an image of your bladder. The doctor or nurse will scan your bladder to check how much urine is left in the bladder after urinating.
This information helps to see if your symptoms are caused by urine retention in the bladder after urinating.
Cystoscopy
With a cystoscopy, the doctor can look inside the urethra and the bladder with the help of a small camera, usually under local anaesthesia. It may be needed when you suffer from other symptoms, such as blood in the urine.
Urodynamic evaluation
A urodynamic test is done to get more information about your urination cycle and how your bladder muscles work. During the test, your doctor or nurse inserts small catheters in your urethra and rectum to measure the pressure in your bladder and abdomen. The bladder is slowly filled with sterile water through the catheter in the urethra. This is done to simulate the filling of the bladder with urine. When your bladder is full, you will urinate into a uroflowmeter. The test results are shown on a screen which is connected to the catheters.
A. The symptoms of overactive bladder are often bothersome but not life-threatening. OAB symptoms can last for a long time and there is no simple cure. There are various treatment options available:
You can get details in respective articles on this website.
A. Although overactive bladder symptoms (OAB) are not life-threatening, they usually have a negative impact on your quality of life. Different people cope differently with their symptoms and the possible side effects of treatment. Your personal preferences and values and the impact of OAB symptoms on your life should not be underestimated.
Quality of life involves both physical and psychological health. It is important not only to feel healthy but also to feel free from the psychological pressure of living with OAB symptoms.
Symptoms such as urgency or the need to urinate frequently are likely to have a negative effect on your quality of life. Someone with OAB symptoms often needs to locate toilets before leaving the house and may avoid certain activities altogether. Also, losing sleep because of waking up at night to urinate may lower your energy levels, which makes it more difficult to maintain your daily activities. Episodes of urgency which result in leakage of urine are embarrassing and may lower your self-esteem.
These problems can also impact your loved ones. For example, your partner might be awoken by night time toilet visits. Because of your OAB symptoms you may avoid social activities. This can also affect your partner’s social life and lead to a feeling of isolation which prevents you and your loved ones from fully enjoying life.
There are many ways to keep the symptoms under control. They should not stop you from being happy in your relationships and participating in the social, cultural, and economic life of your community. Seek help if your symptoms bother you: consult your family doctor, general practitioner, or a urologist.
Seeking help
Overactive bladder symptoms become more common with increasing age. However, they should not be seen as a normal part of ageing or an untreatable problem. If you have bothersome symptoms it is important that you go to your doctor and are not embarrassed to discuss your situation.
It can help and might make you feel more comfortable if your partner, relatives, or friends read the information regarding your condition.