Is this treatment suitable for urge incontinence?
Moderator: talkhealth
Is this treatment suitable for urge incontinence?
I have what I think is termed urge type incontinence. I don’t get any leakage (yet) and I’m wondering if this treatment might be suitable for me? I’ve not spoken to my GP and it would be good to know more about this treatment before I see my doctor. Also, is there anything in particular I should be asking my GP? I’m keen to get things sorted before they get worse. Thanks.
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Mr Mohammed Belal
- Posts: 10
- Joined: Tue Jun 05, 2018 12:27 pm
Re: Is this treatment suitable for urge incontinence?
Overactive bladder is a common condition that affects over 12% of the population over the age of 40. The condition consists of the key symptoms of urgency. This is a sudden compelling desire to void which is difficult to defer. Red flag symptoms such as haematuria( blood in urine) need to be investigated first.
Initial treatment consists of lifestyle interventions such as reducing caffeinated drinks and acidic foods and excess fluid intake. This can be combined with bladder retraining. This is a program to retrain the bladder with gradually increasing voiding frequency. Filling a frequency volume chart is helpful to characterise what is drunk and what volumes of urine are passed.
Failure of lifestyle interventions may require the use of medication. These includes anticholinergics, beta 3 agonists. Anticholinergics such as oxybutynin and solifenacin, are effective in reducing the symptoms, though they are associated with side effects of dry mouth and constipation. Mirabegron is a beta 3 agonist, that is well tolerated though blood pressure has to be monitored periodically. This can be achieved in primary care
When these have failed in a minority of patients, more invasive therapy can be considered such as intradetrusor Botox and sacral neuromodulation can be considered. Intradetrusor Botox work effectively though it s effects are limited to 6 to 9 months that need to be repeated. Risks include recurrent utis and voiding difficulties. Sacral neuromodulation works well but risks include need to change the battery at 5 years and a need to revise in a minority of patients.
Rarely surgery such as a clam cystoplasty is required. In your case trying lifestyle intervention and perhaps medication may resolve your symptoms
Initial treatment consists of lifestyle interventions such as reducing caffeinated drinks and acidic foods and excess fluid intake. This can be combined with bladder retraining. This is a program to retrain the bladder with gradually increasing voiding frequency. Filling a frequency volume chart is helpful to characterise what is drunk and what volumes of urine are passed.
Failure of lifestyle interventions may require the use of medication. These includes anticholinergics, beta 3 agonists. Anticholinergics such as oxybutynin and solifenacin, are effective in reducing the symptoms, though they are associated with side effects of dry mouth and constipation. Mirabegron is a beta 3 agonist, that is well tolerated though blood pressure has to be monitored periodically. This can be achieved in primary care
When these have failed in a minority of patients, more invasive therapy can be considered such as intradetrusor Botox and sacral neuromodulation can be considered. Intradetrusor Botox work effectively though it s effects are limited to 6 to 9 months that need to be repeated. Risks include recurrent utis and voiding difficulties. Sacral neuromodulation works well but risks include need to change the battery at 5 years and a need to revise in a minority of patients.
Rarely surgery such as a clam cystoplasty is required. In your case trying lifestyle intervention and perhaps medication may resolve your symptoms
Mr Mohammed Belal
Consultant Urological Surgeon; Queen Elizabeth Hospital, Birmingham
http://www.talkhealthpartnership.com/on ... _belal.php
Consultant Urological Surgeon; Queen Elizabeth Hospital, Birmingham
http://www.talkhealthpartnership.com/on ... _belal.php
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