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Overactive bladder isn’t a disease but rather a syndrome defined by a collection of symptoms, says Jennifer Linehan, MD, a urologist and associate professor of urologic oncology at the John ...
Overactive bladder affects approximately 11% of the population and more than 40% of people with overactive bladder have incontinence. [5] [6] Conversely, about 40% to 70% of urinary incontinence is due to overactive bladder. [7] Overactive bladder is not life-threatening, [1] but most people with the condition have problems for years. [1]
Oxybutynin, sold under the brand name Ditropan among others, is an anticholinergic medication primarily used to treat overactive bladder.It is widely considered a first-line therapy for overactive bladder due to its well-studied side effect profile, broad applicability, and continued efficacy over long periods of time.
It can be offered routinely as a treatment option for people with overactive bladder provided that doctors are sure that the patients understand what is involved and agree to the treatment and that the results of the procedure are monitored. A NICE guidance for fecal incontinence is currently under review.
Treatment options include conservative treatment, behavioral therapy, bladder retraining, [37] pelvic floor therapy, collecting devices (for men), fixer-occluder devices for incontinence (in men), medications, and surgery. [38] Both nonpharmacological and pharmacological treatments may be effective for treating UI in non-pregnant women. [17]
Bladder training is generally recommended as a first-line treatment for managing urinary incontinence, particularly for individuals with overactive bladder. It is especially useful for patients who prefer non-invasive approaches or who cannot tolerate the side effects of medications. [4]
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