Bladder Doesn T Empty Completely – Overactive bladder is a group of symptoms that can affect the frequency and urgency of urination. Causes include abdominal trauma, infection, nerve damage, medications, and certain fluids. Treatment includes certain behavioral modifications, medications, and nerve stimulation.
Overactive bladder (OAB) is a combination of symptoms including increased frequency of urination (enuresis), uncontrollable urge to urinate, restlessness, and nighttime urination.
Bladder Doesn T Empty Completely
Overactive bladder is more common in people age 65 and older. Women can have OAB at a younger age, usually around the age of 45.
Overactive Bladder (oab): Causes, Symptoms & Treatment
An overactive bladder is common. It affects up to 33 million adults in the United States, including 30% of men and 40% of women. However, this number may increase because many people may be uncomfortable and do not receive help.
No, overactive bladder will not go away on its own. If you don’t treat OAB, your symptoms can get worse, your bladder muscles that help control urination can weaken, and your pelvic floor tissue can thin.
Conditions or injuries that affect your detrusor muscle can cause an overactive bladder. Your detrusor muscle is a collection of smooth muscle fibers in the wall of your bladder. These conditions may include:
A healthcare provider can diagnose an overactive bladder by reviewing your symptoms and performing a physical exam of the organs around the pelvis and rectum. They may ask you questions like:
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They may also refer you to a urologist. A urologist is a doctor who specializes in diseases and conditions that affect your urinary tract and reproductive system.
A variety of treatments can help improve your overactive bladder. Treatment may include certain behavioral changes, medications, and neuromodulation.
Your healthcare provider may ask you to keep a bladder diary for several days. Noting what happened before the accident can help your provider determine the cause of your OAB. You will use your bladder diary to track:
Constipation can put pressure on your bladder and affect your bladder function. By maintaining healthy bowel habits, you can prevent constipation and reduce bladder symptoms. The following measures will help you maintain regular bowel movements:
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Being overweight can put pressure on your bladder and contribute to bladder control problems. Maintaining a healthy weight can reduce bladder pressure.
Cigarettes and other tobacco products can irritate your bladder muscles. A smoker’s cough can also cause leakage.
When you have OAB, your body makes your bladder muscles react in certain ways. By retraining your bladder muscles, you can hold your urine better.
Patience is important. Bladder retraining usually takes at least six to eight weeks to see results. Talk to your healthcare provider if you have questions or are not satisfied with your progress. They may prescribe medications to take while you reset your bladder to help you get the best results.
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Yes, nerve stimulation can help improve OAB. Your nerves help tell your brain that your bladder is full. By treating the nerves, you can improve bladder control.
A healthcare provider implants a small device called a neurotransmitter under the skin near your upper buttock (buttock) area. The neurotransmitter sends light electrical impulses through a wire near the nerve in your sacrum. Your sacral nerve is a nerve in your lower back. Pulses help control your bladder.
Sacral nerve stimulation can reduce the number of times you have to go to the bathroom or accidentally urinate. Overall, it is very effective. It is also an outpatient procedure so you can go home afterwards.
Percutaneous tibial stimulation sends small nerve impulses to a nerve branch near your ankle. This helps stimulate bladder control.
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Percutaneous stimulation of the tibial nerve is an outpatient procedure. Most require 12 weekly sessions followed by monthly maintenance sessions.
Botox® is the most well-known brand name of botulinum toxin. A healthcare provider will inject Botox into your bladder wall using a cystoscope.
This treatment is very successful even in patients who have not responded well to other treatments. A small number of people may experience temporary urinary retention (difficulty urinating) after Botox injections.
If you are retraining your bladder, your healthcare provider may prescribe medication. Medicines help restore normal bladder function. Commonly prescribed medications for overactive bladder include:
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Beta-3 adrenergic drugs relax the detrusor muscles in your bladder so your bladder can hold more urine. A health care provider may prescribe:
Pelvic floor exercises and lifestyle changes can take six to eight weeks before you see results.
Most medications begin to relax your bladder muscles after a few hours. But it may take up to a month for them to be fully operational.
Most people begin to improve after six neurostimulation treatments. However, it may take up to 12 treatments to see results.
Urinary Incontinence: Symptoms And Treatments
Overactive bladder symptoms can cause significant stress. Treatment can be difficult to manage and symptoms may never completely go away. However, most people are satisfied with the treatment they receive and their quality of life often improves dramatically.
If treatments aren’t working, or you’re waiting for them to work, non-abrasive products like disposable pads or adult diapers can help you stay in control and improve your quality of life.
Age-related OAB can develop gradually and slowly worsen over time. If your symptoms come on suddenly and you have a heavy leak, your OAB may be a symptom of another medical condition, such as an infection or nerve damage. It’s better to get these symptoms checked out by a provider sooner rather than later.
An overactive bladder is a common condition that causes changes in your bathroom habits. Many people find it difficult to talk about their symptoms with a health care provider. However, service providers are able to answer your questions without judgment. They can determine the cause of your overactive bladder and work with you to develop the best treatment plan. If you have symptoms of overactive bladder, talk to your healthcare provider so you can better manage your bathroom habits and improve your quality of life.
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Cleveland Clinic is a non-profit academic medical center. Ads on our website support our mission. We do not endorse non-Cleveland Clinic products or services. If you limit your activity for fear of not making it to the bathroom in time, you may have bladder control problems.
See a health care professional if you have symptoms of bladder problems such as difficulty urinating, loss of bladder control, waking up in the bathroom, pelvic pain, or leakage of urine.
Bladder problems can affect your quality of life and cause other health problems. Your healthcare professional may treat your UI by recommending lifestyle changes or medication changes.
These symptoms may indicate a serious health problem, including cystitis, also known as cystitis, or bladder cancer.
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Health changes and problems, including problems with your nervous system and lifestyle factors, can cause or contribute to UI in women and men.
Nervous system problems are common causes of UI. Nerves carry messages from the bladder to the brain to tell when the bladder is full. Nerves carry messages from the brain to the bladder, telling the muscles to tighten or relax. The brain decides when to urinate. Functional incontinence can occur when there is a problem with messages from the brain to some part of the urinary tract — usually the bladder, sphincter muscles, or both.
Triggers that can cause a sudden, strong urge to urinate may include drinking or touching water, hearing running water, or being in a cold environment, such as entering the refrigerator at the grocery store.
Temporary discomfort is usually a side effect of a medication or a short-term medical condition. Eating habits, including alcohol or caffeine use, can also cause temporary discomfort.
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Certain life events and health problems can cause stress intolerance in women by weakening the pelvic floor muscles.
When weak pelvic floor muscle tension is neglected, the bladder may have difficulty holding urine. Stress incontinence occurs when an action—coughing, sneezing, laughing, or physical activity—puts pressure on the bladder and causes urine to leak. A weak pelvic floor can cause loose stools or bowel problems.
Men have a prostate gland that surrounds the opening of the bladder. As a man gets older, the prostate gland gets bigger. If a man’s prostate is very large but not cancerous, he has an enlarged prostate or a condition called benign prostatic hyperplasia (BPH). Men with an enlarged prostate may develop
Men with a history of radiation therapy or surgery for prostate cancer may have short-term or long-term UI. Surgery, radiation, or other treatments for prostate cancer can cause nerve damage, bladder spasms, or stress incontinence. Bladder control problems may improve over time after prostate cancer treatment.
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An enlarged prostate compresses the urethra, making it difficult to urinate. You may have a slow flow of urine or be unable to empty your bladder completely.
This content is provided by the National Institute of Diabetes and Digestive and Kidney Diseases (National Institutes of Health). Translations and
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