May 25th, 2017
Overactive bladder (OAB) is classified under urinary disorders that are fairly common in both men and women. This condition may present with a wide range of signs and symptoms. The most frequently reported symptom being urinary incontinence which may lead to unwanted leaks. Other related symptoms include:
According to latest estimates, about 11 – 16% men develops OAB with symptoms with advancing age. The most common factor that contributes to OAB in men is prostate enlargement which disrupts the urinary flow. Other causes of OAB in men include:
After taking a urinary tract history, the doctor may recommend following physical exams for the assessment of OAB:
Patient’s urine sample may also be taken for analysis.
Sometimes unhealthy lifestyle may cause various symptoms of OAB. Therefore, switching to a healthier lifestyle can help alleviate such symptoms
Certain foods can worsen the OAB symptoms therefore it is important to stick to a healthy diet. Cutting down the consumption of alcohol and caffeine may be very helpful to some people as both of them are diuretics and only add up to the urinary volume.
However, it is important to stay hydrated and therefore avoiding fluid intake at all may only worsen things. Drinking sufficient water is a must-go.
Some OAB patients can benefit with pelvic floor exercises that strengthens the bladder. The exercise may be practiced right after urinating so to get hold of the right muscle. Practicing on empty bladder can eliminate the chances of leaks.
It is the bladder contraction that triggers the urge to pass urine and adds to unnecessary rushing to the loo. Once the bladder is trained, the person only feels the urge when the bladder is entirely full.
Obesity has a major hand in OAB related symptoms. Obesity leads to unwanted pressure exertion on the urethra and ultimately worsening the symptoms. Putting off weight should be the prime consideration while being treated against OAB.
If OAB results from prostate enlargement, the doctors may prescribe alpha blockers. Alpha blockers are used to relax the muscles around the bladder. Following drugs can be used to reduce bladder spasm and urine incontinence:
The procedure is done by placing an electrode under the skin. Mild electrical currents are then passed to the muscles that are involved in urination. Nerve stimulation is effective for people who:
People who do not respond to nerve stimulation or medication are often treated with surgery. The surgery may target the issues related to bladder, prostate and urethra.
Nitti, V. W., Auerbach, S., Martin, N., Calhoun, A., Lee, M., & Herschorn, S. (2013). Results of a randomized phase III trial of mirabegron in patients with overactive bladder. The Journal of urology, 189(4), 1388-1395.
Schedule your private consultation with Dr. Elist
Through experience, empathy, and patient empowerment, Dr. Elist offers a comprehensive and detail-oriented treatment plan for every patient. Schedule your consultation to discuss treatments for men in Los Angeles with premier surgeon Dr. James Elist, and begin your journey confident that your best results are just ahead of you.