Take control of your life
It’s estimated that 40% of women live with these complications and limitations. Don’t you think it’s time to take control?
It’s fundamental that you have a consultation and understand exactly what is happening to your bladder, as well as understanding all of your symptoms and sharing your personal history of illnesses, allergies, surgery and medicine, etc.
You will take a test. If you can come with a full bladder, that is ideal. A test via the vaginal route with a full bladder and an empty bladder.
You may be asked to take some follow-up tests:
-Urine analysis: to rule out a urinary tract infection.
-Blood test: to rule out illnesses, such as diabetes.
-Ultrasound: to evaluate the urinary system, gynecological system and pelvic floor and the pelvic floor.
-Urodynamic study: this is a painless procedure, but it can cause discomfort as thin catheters will be inserted into the bladder and the rectum. After the bladder is full, this process consists of various provocative manoeuvres in order to check leakage. The patient will eventually empty their bladder when it reaches the maximum supported volume. The catheters are used to measure pressure, volume, leakage and are connected and controlled by a special computer.
Your personal effort along with excellent medical support can lead you to successful treatment. It necessary that we find the best treatment for you.
Natalia Gennaro, expert gynecologist, specialised in laparoscopic surgery and the pelvic floor.
When we arrived at the diagnosis of Overactive bladder and urinary urgency
Treatment for these conditions could include a change in lifestyle, physiotherapy exercises and/or medical treatment or surgical treatment and, on occasions, a combination of these treatments can be prescribed.
-Avoid certain drinks and irritants.
-Regulated trips to the bathroom.
-Get rid of urinary urgency with pelvic floor exercises.
What can you expect from medical treatment?
Prescription drugs can help patients control their symptoms (the effect isn’t immediate and increases during the first 2 months).
Of course, with every medicine, there can be undesirable side effects. These can be mild, moderate or severe, which will require you to stop taking the medicine. These medicines do not cure the condition. For that reason, treatment is generally prolonged. However, some people have reported their symptoms disappearing after receiving treatment for a certain period of time and also when they’ve stopped taking it.
These medicines decrease the frequency at which you need to go to the bathroom, both during the day and at night, but they not reduce renal filtration or the production of urine, so the patient is able to excrete the same amount of urine with less trips to the bathroom. If the patient also suffers from incontinence, it often prolongs the time between feeling the urge to urinate and actually urinating, which is useful for avoiding leakage.
Various medicines exist for this condition and the following side effects may occur:
• Dry mouth.
• Dry eyes and blurred vision.
• Slight increase in blood pressure. Some patients with hypertension may require more vigilance.
• Urinary retention.
You should consult your doctor if you wish to increase, decrease or abandon your treatment.
In order to measure your progress in any future consultations, your doctor will ask you about the symptoms you showed in your first consultation, as well as various other issues that may be related to the treatment.
Other non-surgical alternatives
- Botulinum toxin can be injected into the bladder by means of a device called a cystoscope. This treatment relaxes the muscles in the bladder which contract incessantly. The effect is not permanent and can often require two doses a year, but it can considerably improve your symptoms. Complications include a urinary tract infection or urinary retention. There have been reports of cases in which the effect of the toxin has appeared in areas of the body that are far away from the application zone and the patient may notice difficulty when swallowing, speaking or breathing, blurred vision or muscle weakness. Notwithstanding, these complications are inferior to the expected benefit. Before starting this treatment, the patient should rule out a urinary tract infection or urinary retention. The patient should understand all of the aspects of the treatment and its possible complications.
- Another non-surgical therapeutic alternative is Percutaneous tibial nerve stimulation. This treatment uses a small needle that is inserted near the ankle and is connected to an device that transmits an electric stimulus. This stimulus travels through the tibial nerve to the sacral roots and is then transmitted to the bladder. Multiple weekly sessions are required (approximately 12 sessions) but it is a minimally invasive treatment which is well-tolerated and that may benefit many patients.
- For permanent stimulus, many patients with severe cases can receive sacral neuromodulation, a process in which a probe is introduced into the patient’s body in the direction of the 2nd or 3rd sacral root, connecting it to an device that emits electrical impulses that aim to improve bladder control.