Conditions

Urge Incontinence Treatment

Dr Brooke O’Brien has a particular interest in diagnosing and treatment women with Urge Incontinence.

What is Urgency and Urge Incontinence?

Overview

Urge incontinence is the involuntary loss of urine associated with a strong sensation to pass urine. It is sometimes called an "overactive bladder".

It may be due to the detrusor muscle (the muscle in the bladder wall) contracting when it should be relaxed. It may also be caused by irritation of the bladder from several causes. There can be other causes of urgency such as painful bladder syndrome or interstitial cystitis.

Symptoms of Urge Incontinence

The bladder muscle (detrusor) contracts with little warning and you may feel;

  • A need to pass urine often
  • An urgent desire to pass urine
  • a need to pass urine frequently overnight
  • as if you have an overactive bladder

Treatment of Urge Incontinence

Urge urinary incontinence can be treated by;

Pelvic Floor Exercises
Exercises can help you control your bladder when you get strong urges to pass urine.

Bladder retraining
A specialist pelvic floor physiotherapist can help with bladder retraining, which can reduce urgency and also relax an overactive pelvic floor.

Retraining involves learning to increase the time interval between passing urine, so the bladder does what you want. Training helps break the cycle of frequency going to the toilet (frequency) or feeling a strong urge to pass urine (urgency), which can lead to urge incontinence. Urine passed at further increasing intervals over a period of weeks and months.

Medications
Urge incontinence can be treated with medicines that reduce overactivity or spasm of the detrusor muscle of the bladder including Ditropan, Betmiga & Vesicare.

Vaginal Estrogen Treatment
Low estrogen levels can cause vaginal atrophy or genitourinary syndrome of menopause (GSM) which is associated with symptoms of urinary urgency, frequency, discomfort, irritation, feeling of recurrent UTIs and needing to get up at night excessively.

Vaginal estrogen replacement therapy for peri or post-menopausal women with urge incontinence and vaginal atrophy due to genitourinary syndrome of menopause (GSM) can be a very effective treatment.

Bladder Botox

Surgery is not usually effective for urge incontinence

With Nurture Gynaecology, our patients can be assured that they are in a warm, welcoming and safe environment to share all their health concerns, regardless of their age or where they’re at in life.

To find out more about the services we offer or to book an appointment, contact us today for a confidential discussion.

Book Your Urinary Incontinence Appointment Online

Contact Us

At Nurture Gynaecology, Dr Brooke O’Brien and her team value honesty, compassion and making our patients feel as at home as possible when they come to see us at the clinic. If this is something you also value, we invite you to book a consultation at our clinic today to find out how we can help you.

Contact us today to book your gynaecologist appointment with Dr Brooke O’Brien.

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