Overactive Bladder (OAB)
Frequent Urination for a Patients may affected by overactive bladder (OAB) complain of frequent urination both day and night. They often experience strong urge to urinate at inconvenient and unpredictable times and may even leak urine before reaching a toilet (urge incontinence). This causes embarrassment, poor self-esteem and affect their quality of life.
Overactive bladder afflicts men and women equally. Some 15% of the population suffer from OAB, the prevalence being higher in older patients. The cause is unknown, but common aggravating factors include excess caffeine intake, cold weather and mental stress. Many elderly men with prostate enlargement (BPH) also tend to develop OAB symptoms.
Overactive Bladder Diagnosis and Treatment
The diagnosis of OAB is made after excluding underlying causes such as:
Bladder infection (UTI)
Neurological disease (e.g. Parkinson's disease, stroke, spinal cord lesions)
Nerve damage from pelvic trauma or surgery
Bladder or prostate cancer
A complete medical history is taken, including a voiding diary, physical examination, and urine analysis. Examination of the urine may identify bacteria (indicating infection) and excess sugar (indicating diabetes mellitus). If blood is detected, a flexible cystoscopy may be needed to exclude bladder cancer. Occasionally, other diagnostic procedures like urodynamics are needed if there is no response to medical measures.