Over active bladder

[numptey]

Hi, Three years ago I started to experience OAB following a total hysterectomy, radiation and chemo procedures in the treatment of Uterine Cancer.

It has steadily got worse, to the point where I am up five or six times a night, and experiencing problems with the management in my place of employment.

I have been treated with two different meds and a recent ultra sound showed the kidney and bladder to be normal. My urologist is doing a second microscope examination next month. As it stands, however, he wants to put me on another med. The last time my meds were changed I suffered a worsening of a constant cramping pain at the base of my back and the frequency increased........can you believe that????

Does anyone have any idea, what on earth is happening with my bladder? BTW the urologist is an excellent doc with a first class reputation. There has not been negligence.

Thanks

[numptey]

Hi and thank you for the above suggestions. I will look into and try to educate myself a little on them, prior to my next clinic appointment.

Sincerely

[Dr_Smita_S]

Hi

Patients with OAB have symptoms of frequency, urgency and urge incontinence.

Some of the causes of OAB can be Urinary tract infection, medications such as diuretics, neurological disease (parkinsonism, MS), tumors of the urinary tract, nerve damage caused by trauma to the abdominal area or pelvis or prior surgery, stress incontinence - associated with weak pelvic floor muscles.

Diagnosis is done by medical history, examination and investigations such as urodynamic testing multichannel, or subtracted, cystometrogram. cystoscopy, imaging tests etc.

Treatment options can be bladder training with timed voiding, medications such as antimuscarinics, sacral nerve stimulation, surgery etc.

Take care and do write in if you need more information.

Regards