Overactive bladder is when the detrusor muscle involuntary contract during bladder filling. The maximum capacity of the bladder is almost always reduce. Overactive bladder is defined at the presence of urinary urgency, usually accompanied by frequency and nocturia, with or without urinary urgency, urinary incontinence, in the absence of UTI or other obvious pathology. Patients may experience urine frequency and urgency during the daytime and even at nighttime. Frequency is voiding more than eight times in a 24 hours period. Urgency is a sudden, compelling desire to pass urine that is difficult to defer. Overactive bladder can be either with or without urinary incontinence ( leakage). Urge urinary incontinence can also occur which is a involuntary leakage of urine, associate with a sudden compelling desire to void.

Some Risk Factors:

  • Idiopathic and develop over years

  • BMI > 30 can predispose someone

  • Atrophic vaginitis

  • BPH

  • Age

  • Bladder irritants

Some comorbidities associated with OAB:

  • Diabetes

  • Congestive heart failure

  • Parkinson's Disease

  • stroke

  • pelvic radiation cystitis

  • spinal cord injury

  • atrophic vaginitis

USA offers a wide range of options for treatment, and prioritizes non-evasive therapies to treat OAB. Below is a summary of treatment options for SUI at USA. 

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