Overactive bladder is diagnosed and treated by the Urology Division of Premier Medical Group. Overactive bladder (OAB) is characterized by the urgent and frequent need to urinate and being regularly wakened two or more times in the night by the need to urinate (nocturia). OAB may sometimes result in urinary in-continence, when the extreme urge to urinate can’t be controlled long enough to get to a toilet. This type of incontinence is called urge incontinence.
In people with an overactive bladder, the layered, smooth muscle that surrounds the bladder (detrusor muscle) contracts spasmodically, which results in sustained, high bladder pressure and the urgent need to urinate (called urgency). Normally, the detrusor muscle contracts and relaxes in response to the volume of urine in the bladder and the initiation of urination.
People with OAB often experience urgency at inconvenient and unpredictable times and sometimes lose control before reaching a toilet. Thus, overactive bladder interferes with work, daily routine, intimacy and sexual function; causes embarrassment; and can diminish self-esteem and quality of life. Overactive bladder is very common in older adults. Both men and women can have it, but it’s more common in women. Dr. Daniel Katz specializes in overactive bladder. He sees patients in our Poughkeepsie office.
Overactive bladder can cause other problems too. Hurrying to the bathroom can lead to falls and broken bones, especially in women who have gone through menopause. That’s because older women are more likely to have brittle bones that break easily. In both men and women, overactive bladder can cause sleeping problems, depression, and urinary tract infections.