Wednesday, September 12, 2007

Overactive Bladder Part 3

There are multiple treatments for OAB. They include medical therapies (medication), behavioral modification, and neuromodulation (electrical stimulation).

Medical treatment:
There are a wide variety of medications approved by the FDA for urgency, frequency and urge incontinence. These include:
Ditropan (oxybutynin)
Detrol (tolterodine)
Oxytrol patch (oxybutynin)
Enablex (darifenacin)
Vesicare (solifenacin)
Santura (trospium)

All are effective, and all cause dry mouth and constipation to varying degrees. Some individuals may respond better to one versus another.
They cannot be taken with certain types of glaucoma, and gastric outlet obstruction. They may or may not be appropriate depending on patient situation.

Medication works best with behavior modification. Behavior modification itself works best with medical therapy. Common bladder retraining exercises include: Kegel muscle contraction and delaying voiding.

Next installment: Neuromodulation

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