Urogynecology Expert Forum
Treatment for Overactive Bladder
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Questions in the Urogynecology forum are answered by Bruce Crawford, MD, J. Kyle Mathews, MD, and other medical professionals and experts. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.

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Treatment for Overactive Bladder

I have already tried Detrol and Ditropan.  Each one for two weeks.  They didn't help my problem at all.  I am now on Sanctura . . been on it for less than two weeks.  I stopped all caffeine drinks about a week ago.  I don't know if the Sanctura is helping my problem, or the lack of caffeine in my diet.  But, I've been somewhat better.  I still have some urgency at times, and I'm ok until I lift heavy packages or bear down to have a bowel movement.  Then I feel pressure in the pelvic area, and I feel as if I have to urinate all the time.
This is so complicated . . what can I do to feel better all he time?  Will this overactive bladder ever get better?  Do I have to take medication for the rest of my life?
Please let me hear from someone who can answer my questions.

Thank you . . .
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The OAB medications should work if you take them consistently for 4 weeks or more. If the problem persists, consider evaluation by a pelvic floor physical therapist. Sometimes pelvic floor muscle spasms can cause you to feel pressure and a strong need to urinate.  A qualified pelvic floor physical therapist can help you cure the muscle spasms, which can often reduce your feelings of urinary urgency and pelvic pressure.

Dr.Hoyte

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Thank you so much for your response . . I will speak to my Urologist about a pelvic floor physical therapist.
Sanctura finally kicked in after four or five weeks.  Still have some flare ups.  I have a feeling some may be due to stress.  I also agree with you regarding pelvic floor spasms.

Thanx again . .
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J. Kyle Mathews, MD, DVMBlank
Plano Urogynecology Associates
Plano, TX
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