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Suggest Treatment For Over-active Bladder In An Elderly Person
Question: I consistently have a bladder problem since very young. I am now 73 and it seems worst. So many times I have no control and before I can even get my pants down to relieve myself, it comes pouring out like a gusher. I've have tried prescription meds, but they only seem to work for a short time and then back to the embarrassing moments of no control. Is there any hope to have this fixed or I am stuck with this ordeal?
Brief Answer:
Your problem is due to Over Active Bladder .
Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you are facing problem of Urgency for urination since long time .
This is mostly due to two reasons
1) Over Active Bladder syndrome (OAB)
2) Senile Urethral stenosis.
Normally one gets sensation to pass urine when bladder gets filled up with 250-300 ml of urine however in OAB there are involuntary contractions of bladder even when it gets filled up with 50 ml of urine giving rise to urgency for urination ,
During old age there is atrophy of genito urinary organs which also involves urethral passage causing narrowing of the urethra(Urethral Stenosis ) which leads to incomplete emptying of bladder and significant amount of urine to remain in bladder which leads to frequency and urgency for urination .
You need to consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Cystoscopic calibration of urethra followed by self urethral dilatation or catheterization
Taking anti muscuranic drugs like Darifenacin once daily will help to relieve your symptoms .
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil
Your problem is due to Over Active Bladder .
Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you are facing problem of Urgency for urination since long time .
This is mostly due to two reasons
1) Over Active Bladder syndrome (OAB)
2) Senile Urethral stenosis.
Normally one gets sensation to pass urine when bladder gets filled up with 250-300 ml of urine however in OAB there are involuntary contractions of bladder even when it gets filled up with 50 ml of urine giving rise to urgency for urination ,
During old age there is atrophy of genito urinary organs which also involves urethral passage causing narrowing of the urethra(Urethral Stenosis ) which leads to incomplete emptying of bladder and significant amount of urine to remain in bladder which leads to frequency and urgency for urination .
You need to consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Cystoscopic calibration of urethra followed by self urethral dilatation or catheterization
Taking anti muscuranic drugs like Darifenacin once daily will help to relieve your symptoms .
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have had the testing to see if I emptied the bladder at the time of needing to go and the doctor was amazed how empty my bladder became after relieving myself. I had no bladder infection either. Is the drug Darifenacin a new product? Can you tell me if this cystoscopic calibration of urethra is a hospital stay or if possible in the doctor's office? Thank you for your medical help. So you are saying that I could get help for this problem?
Brief Answer:
Darifenacin is a new drug that has been invented since last 5 years .
Detailed Answer:
Hello
Thanks for follow up .
The Darifnacinis a new drug that has been invented since couple of years aand gives good results in patients with OAB.
Calibration of urethra is a out patient procedure and does not require hospitalization .
This problem can be controlled to reasonably accepted level to have comfort.
Thanks and Regards.
Dr.Patil.
Darifenacin is a new drug that has been invented since last 5 years .
Detailed Answer:
Hello
Thanks for follow up .
The Darifnacinis a new drug that has been invented since couple of years aand gives good results in patients with OAB.
Calibration of urethra is a out patient procedure and does not require hospitalization .
This problem can be controlled to reasonably accepted level to have comfort.
Thanks and Regards.
Dr.Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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