Tolterodine (Detrol, Detrol LA) is indicated for the treatment of an overactive bladder with symptoms of urinary frequency, urgency, or urge incontinence. This medication affects the salivary glands less than oxybutynin, thus, it is better tolerated with fewer side effects (dry mouth). Detrol is usually prescribed twice a day, whereas the long-acting type (Detrol LA) is taken only once a day.
You can take some steps to reduce your likelihood of developing frequent urination. You can also avoid certain foods and drinks closer to nighttime that are known to increase the likelihood of nocturia. Examples include:
Urge incontinence is associated with the frequent passage of urine during the day (frequency) and night (nocturia). Bladder muscle instability caused by pathology in the bladder, such as infection, stones or tumour, is often associated with burning urine (dysuria) and blood in the urine (hematuria). Bladder pain is common with infections, stones and interstitial cystitis.
This surgical procedure is often done with a trial of a temporary wire or as an advanced procedure in which the permanent electrode is implanted and a longer trial is performed prior to a surgical placement of the battery-powered pulse generator. Your doctor then uses a device connected to the wire to deliver electrical impulses to your bladder, similar to what a pacemaker does for the heart.
Sandip P Vasavada, MD Associate Professor of Surgery, Cleveland Clinic Lerner College of Medicine; Physician, Center for Female Urology and Genitourinary Reconstructive Surgery, The Glickman Urological and Kidney Institute; Joint Appointment with Women’s Institute, Cleveland Clinic
The role of the M2 receptor in the human bladder is not well established. Data from small studies demonstrating up-regulation of the M2 receptor in certain pathologic states suggest that it may have a role in detrusor overactivity related to obstruction and spinal cord injury.
Badalian, S. S. & Rosenbaum, P. F. (2010, April). Vitamin D and pelvic floor disorders in women: Results from the national health and nutrition examination survey [Abstract]. Obstetrics and Gynecology, 115(4), 795-803. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/20308841
Botulinum toxin type A (Botox). Injections of Botox into the bladder muscle may benefit people who have an overactive bladder. Botox is generally prescribed to people only if other first line medications haven’t been successful.
The hallmark of OAB is urinary urgency, a sudden urge to urinate that may be difficult to control. Actual loss of urine (incontinence) is not a defining symptom of overactive bladder, but it can happen as a result of urgency. Urinary incontinence tends to be more common in women with OAB compared to men.
The symptoms of OAB may have other causes such as urinary tract infection, diabetes, medication use such as diuretics (water pills), prostate disease, bladder tumors, or interstitial cystitis (causing pelvic pain, urinary frequency, and urgency).
Burgio KL, Goode PS, Johnson TM, et al. Behavioral Versus Drug Treatment for Overactive Bladder in Men: The Male Overactive Bladder Treatment in Veterans (MOTIVE) Trial. J Am Geriatr Soc. 2011 Dec. 59(12):2209-16. [Medline].
The Urinary Incontinence Treatment Network compared the suspension and sling procedures and found that according to women’s bladder diaries, about 31 percent with a sling and 24 percent with a suspension were still continent, or able to hold urine, all of the time 5 years after surgery. However, 73 percent of women in the suspension group and 83 percent of women in the sling group said they were satisfied with their results. Rates of adverse events such as UTIs and UI were similar for the two groups, at 10 percent for the suspension group and 9 percent for the sling group.5
Eilber, MD, K. (2015). What Is The Difference Between A Small Bladder And An …. [online] EmpowHER. Available at: http://www.empowher.com/overactive-bladder/content/what-difference-between-small-bladder-and-overactive-bladder-dr- [Accessed 6 Apr. 2015]
Don’t be in a hurry when you’re on the toilet. Take your time. After you’ve finished urinating, relax a bit and then urinate again – this practice, called double voiding, helps really empty the bladder. Louise says it’s important to go as there’s no point storing up urine. It’s fine to wait to see if you have an after dribble but don’t force it.
Visco AG, Brubaker L, Richter HE, Nygaard I, Paraiso MF, Menefee SA, et al. Anticholinergic therapy vs. onabotulinumtoxina for urgency urinary incontinence. N Engl J Med. 2012 Nov 8. 367(19):1803-13. [Medline]. [Full Text].
Most men who experience new problems with painful or frequent urination should see their doctor. This guide is intended to provide helpful information while you are awaiting further evaluation, or can add to what you may have already learned after your visit with a doctor.
^ Jump up to: a b Stewart, WF; Van Rooyen, JB; Cundiff, GW; Abrams, P; Herzog, AR; Corey, R; Hunt, TL; Wein, AJ (May 2003). “Prevalence and burden of overactive bladder in the United States”. World Journal of Urology. 20 (6): 327–336. doi:10.1007/s00345-002-0301-4.
UTIs can develop anywhere in the urinary system, but they commonly occur in the bladder and urethra. They’re more common in women than men because women have a shorter urethra. This allows bacteria to travel more easily to the bladder and cause infection. The symptoms of a UTI include:
Bladder neck suspension. This procedure is designed provide support to your urethra and bladder neck — an area of thickened muscle where the bladder connects to the urethra. It involves an abdominal incision, so it’s done during general or spinal anesthesia.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler’s educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Functional incontinence occurs when a person recognizes the need to urinate but cannot make it to the bathroom. The loss of urine may be large. There are several causes of functional incontinence including confusion, dementia, poor eyesight, mobility or dexterity, unwillingness to toilet because of depression or anxiety or inebriation due to alcohol. Functional incontinence can also occur in certain circumstances where no biological or medical problem is present. For example, a person may recognise the need to urinate but may be in a situation where there is no toilet nearby or access to a toilet is restricted.
Make sure your child is not consuming too many fluids before going to bed. Also, prevent him from drinking caffeinated drinks, as it can lead to nocturia. It is best to consult a physician to diagnose the cause of nocturia.
Doctors first ask questions about the person’s symptoms and medical history and then do a physical examination. What they find during the history and physical examination often suggests a cause of excessive urination and the tests that may need to be done (see Table: Some Causes and Features of Excessive Urination).
“These distributors are responsible for the grading, packaging and marketing of the finished product.” “We also have a packaging warehouse at our premises in Florida, Johannesburg where we supply” to the retail trade as well as Hospitals and nursing homes ect. Eighty percent of our product is Select 2nd choice grade with the balance being 1st grade.
Biofeedback uses measuring devices to help you become aware of your body’s functioning. By using electronic devices or diaries to track when your bladder and urethral muscles contract, you can gain control over these muscles. Biofeedback can supplement pelvic muscle exercises and electrical stimulation to relieve stress and urge incontinence.
Sedative-Hypnotics: Sedative-hypnotics result in immobility secondary to sedation that leads to functional incontinence.10 Furthermore, benzodiazepines can cause relaxation of striated muscle because of their effects on gamma-aminobutyric acid type A receptors in the central nervous system.1,28
Booster pads like the Tranquility TopLiner Contour aren’t designed to be used alone, but rather to increase the capacity of a primary incontinence product, such as adult brief-style diapers and/or disposable pull-on underwear. The TopLiner is designed to fill to capacity before transferring the liquid to the primary protective garment. It fits well inside adult diapers and is easy to remove. See our full review »
Aircraft Arborloo Blair Bucket Cathole Chemical Composting Container-based Dry Dual flush Flush Freezing Head (boat) Hudo (Scouting) Incinerating Latrine Low-flush On-board Passenger train Pay Pit Pig Portable Public Sanisette (self-cleaning) Space Squat Treebog Urine-diverting dry Vacuum sewer Washlet (combined toilet and bidet)