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Treatment options for over active bladder - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hi, i have been told this week i have over active bladder,i was given some pills (enablex) so far no success, what other treaments are there.?                    
Doctor :   Hello.
Doctor :   I Shall help you.
Doctor :   Can you explain you symptoms in detail?
Doctor :   Give me your age , gender, height and weight.
User :   Hi, i urinate every two to three hours-------------good flow no pain-------------
Doctor :   Ok
User :   age 73- 6'4"- 210lbs
Doctor :   What was the diagnosis made for active bladder?
Doctor :   Ok
User :   uncontrolled urination
Doctor :   Ok
Doctor :   Any medical cause was identified?
User :   don't understand
Doctor :   Any disease which is causing it?
Doctor :   I will tell the general treatment for it.
Doctor :   Kegel exercises.
Doctor :   Pelvic-floor electrical stimulation
User :   three years ago my bladder shut down--after operation there was alwaysa small leakage
Doctor :   Ok
Doctor :   Then follow the methods.
Doctor :   3) Bladder training
User :   whats that
Doctor :   Have you tried any bladder exercises.
User :   no
Doctor :   I shall explain you.
Doctor :   Can you tell about the operation?
User :   like what
Doctor :   Ok
Doctor :   I shall explain the exercise.
Doctor :   1) kegel exercise.
Doctor :   step one halfway through urination, try to stop or slow down the flow of urine.
Doctor :   Don't tense the muscles in your buttocks, legs, or abdomen, and don't hold your breath.
Doctor :   When you can slow or stop the flow of urine, you've successfully located these muscles.
Doctor :   Did you follow what i have said?
User :   yes,,what if that doesn't work.
Doctor :   You have to do it 10 times a day.
Doctor :   I will explain the procedure.
Doctor :   1) Contract these muscles for a slow count of five.
Doctor :   2) Release the muscles to a slow count of five.
User :   okay
Doctor :   3) Repeat 10 times.
Doctor :  
4) Do a set of 10 Kegels daily, three times a day.
Doctor :   Do it for at lest one 2 to 3 weeks.
User :   okay, if this doesn.t work
Doctor :   Then you can go for Pelvic-floor electrical stimulation.
Doctor :   Mild electrical pulses stimulate muscle contractions. This should be done in conjunction with Kegel exercises.
User :   more information
Doctor :   About?
User :   surgery
Doctor :   Exercise or treatment ?
Doctor :   Ok
Doctor :   cystoplasty is surgery done in these cases.
User :   what is that
Doctor :   It is the reconstruction of the bladder.
User :   common
Doctor :   But it is done rarely.
Doctor :   Mostly it exercise and medication.
User :   speality dr. needed
Doctor :   Yes.
Doctor :   Very complex surgery.
Doctor :   Did you follow what i have said?
Doctor :   Do you have any doubts regarding that?
Doctor :   Are you back?
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