5 truths about overactive bladder

5 truths about overactive bladder

5 truths about overactive bladder

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5 truths about overactive bladder

Urgent desires force us to multiply the pee breaks without sometimes, we manage to hold back. It’s annoying of course, but there are workarounds.

The brain involved!

Frequent, sudden and hard to control the need to urinate can occur at any age: we speak of hyperexcitability of the bladder. But the problem increases as we get older, because the brain is less sensitive to the sensation of the bladder, which gradually fills. You don’t feel anything and suddenly, you have the impression that it is packed: difficult to anticipate!

Not to be confused with incontinence

If this “failure” can lead to leaks when you do not have quick access to a toilet, it does – unlike theincontinence – no link with a lack of tone of the pelvic floor. It is actually a problem with the sensitivity of the bladder sensors and poor transmission of messages to the brain. However, a relaxed perineum can be the cause if the urges appear especially when you get (again) up but not while you are lying down or sitting. In this case, a dozen rehabilitation sessions are prescribed by a physiotherapist or a midwife.

No flight… forward!

This problem can end up isolating us if we no longer dare to go out for fear of not being able to control ourselves or of spending our time in the toilet. However, if we do it early enough, there is no reason to end up wearing protection. A urologist can do exams to determine the origin of the problem and ask to keep a notebook for 48 hours: it records the time and amount ofurine (collected in a measuring cup) each time you go to the little corner. He can also check whether there is any irritation of the bladder, such as infection, stones, polyps …

Medicines and new reflexes

Anticholinergics decrease the excitability of the bladder muscle to limit cravings. But they can cause dry mouth, constipation and are contraindicated in cases of glaucoma. That is why we always try other solutions before prescribing them. For example, you can program a watch that rings every two hours to remind us to go to the bathroom even if we don’t (yet) want to.

No systematic surgery

The intervention, which consists of placing a strip under the urethra to support urine leakage, is only of interest in about a third of cases, and only in the orthostatic form (when the urge occurs in passing in a standing position). It is contraindicated for other situations which require rather measures of hygiene of life, drugs and, possibly, reeducation of the perineum.

On a dry basis

If your repeated urination needs occur mainly at night, it is better to limit your fluid intake at night. Save the soup for lunch, sip the herbal tea before 5 p.m. and at dinner, focus on starchy foods. You can also wear compression stockings if you have a tendency to edema in the legs, to prevent fluid build-up.

Men also concerned

Men also know the problem. If they get up several times a night, it is not necessarily a prostate problem, although it should be checked (via an examination and a voiding calendar in particular).

Thanks to Prof. François Haab, urological surgeon in Paris.

Read also :

Overactive bladder: how to overcome this urinary disorder

3 misconceptions about urinary incontinence

I get up all the time at night to pee

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