Bladder control problems affect tens of millions of people every day, and many people are reluctant to talk about it.
- Do you go more than 8 times per day?
- Are you urinating often or frequently (i.e., peeing a lot)?
- Do you feel like you have to pee a lot or have urinary urgency in men or women,
- Are you asking yourself “why do I have to pee so much?”
Discussing your symptoms with your physician can be the first step to getting help
Symptoms of Overactive bladder (OAB)
Urgency - uncontrollable urge to use the bathroom
Frequency – The need to urinate more than 8 times per day
Urge Incontinence - leakage accidents that occur before you reach the bathroom
Urinary Retention – Holding increasingly large amounts of urine
Stress Incontinence - Leaking when you sneeze, cough, laugh, or exercise
Facts about Overactive bladder (OAB):
Ignoring Overactive bladder (OAB) Poses Risks. People with undiagnosed OAB have reported:
You Are Not Alone – Find Relief for Bladder Control Problems
Overactive bladder (OAB) is a treatable condition. It’s not a normal part of aging. And you shouldn’t have to deal with it on your own. There are many ways to treat incontinence4 and get back to living life.
| Lifestyle Changes | Medication | Advanced Therapies |
|
Can include diet, exercise, bladder retraining (biofeedback), or pelvic floor strengthening (Kegels) |
Medications can control symptoms and are tried first before proceeding to a permanent solution. If conservative treatments don’t deliver the results you expected, we can proceed straight to an Advanced therapy. |
|
Treatment Options
There are many ways to manage bladder control problems. Remember, if conservative treatments don’t deliver the results you need, you have more options.
Lifestyle Changes
Conservative treatments can help some people but may not work very well (or at all) for others. All of these are relatively simple behavioral changes that you may already be doing.
- Diet and exercise: Changes may include decreasing your caffeine intake and getting more exercise
- Bladder retraining: Also called biofeedback, this involves delaying going to the bathroom and sticking to a strict schedule.
- Pelvic floor strengthening: This can be accomplished through Kegel exercises, which involve repeatedly contracting and relaxing the muscles of the pelvic floor.
Oral Medications
When lifestyle changes fail to deliver the results you want, oral medications are the next step. These medications can help control symptoms but may cause other issues
You have to remember to take these medications every day. Some side effects can be unpleasant, such as dry mouth, blurry vision, constipation, and hypertension. Other side effects are more serious. In fact, data suggests that one class of drugs for OAB (anticholinergics) may increase risk of dementia in elderly people. Even more important, these medications don't always work. In one survey, 72% of people said they stopped taking their medication after just six months.
Advanced Therapies
If conservative treatments don’t deliver the results you want, you have more options.
Medtronic Bladder Control Therapy Delivered by The InterStim™ System
- Try it during an evaluation
- Proven long-term relief
Implanting an InterStim™ system has risks similar to any surgical procedure, including swelling, bruising, bleeding, and infection. Talk with your doctor about ways to minimize these risks. Complications can occur with the evaluation, including movement of the wire, technical problems with the device, and some temporary pain. Your doctor or nurse will provide you with the information regarding how to operate the test device and inform you of other precautions related to the evaluation and activity restrictions.
Learn More About Medtronic Bladder Control Therapy Delivered by the InterStim System
Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.
- Stewart WF, Van Rooyen JB, Cundiff GW, et al. World J Urol. 2003;20(6):327-336.
- US Census Bureau 2020. US adult and under-age-18 populations: 2020 census. https://www.census.gov/library/visualizations/interactive/adult-and-under-the-age-of-18-populations2020-census.html. Accessed June 20, 2022.
- Leede Research, “Views on OAB: A Study for the National Association of Continence.” December 16, 2015.
- American Urological Association. Diagnosis and treatment of non-neurogenic overactive bladder (OAB) in adults: an AUA/SUFU guideline. Published 2012; amended 2014, 2019; accessed August 5, 2020. https://www.auanet.org/guidelines-and-quality/guidelines/overactive-bladder-(oab)-guideline
- American Urological Association. Diagnosis and treatment of non-neurogenic overactive bladder (OAB) in adults: an AUA/SUFU guideline. www.auanet.org/guidelines/overactive-bladder-(oab)-guideline. Accessed August 5, 2020.
- Haab F, Castro‐Diaz D. (2005), Persistence with antimuscarinic therapy in patients with overactive bladder. Int J Clin Prac, 59: 931-937.
- Gray S, Anderson M, Dublin S et al. Cumulative use of strong anticholinergics and incident dementia. JAMA Intern Med. 2015;175(3):401-407.
- Yeaw J, Benner J, Walt JG et al. Comparing adherence and persistence across 6 chronic medication classes. J Manag Care Pharm. 2009:15(9): 724-736.
- Siegel S, Noblett K, Mangel J, et al. Five year follow-up results of a prospective, multicenter study in overactive bladder subjects treated with sacral neuromodulation. 2018; 199(1), 229-236.