Overactive bladder and urge incontinence

According to the ICS (International Continence Society), overactive bladder is a sudden, irrepressible urge to urinate, which compels the person immediately to look for a toilet.

The overactive bladder is a widespread complaint image, about 800,000 people in Austria are affected.
When it comes to an involuntary loss of urine due to a not influencing contraction of the bladder muscle, it is called urge incontinence. A distinction is made between sensory-and motor urge incontinence.

Sensory urge incontinence:

The sensory urge incontinence is due to increased afferent impulses from the bladder wall. The perception of bladder filling is disturbed and goes hand in hand with a premature feeling of filling. The reasons for this are often inflammation, stones or tumors.

Motor urge incontinence:

The efferent nerve impulses of the musculus detrusor vesicae  are disinhibited, and this leads to premature detrusor contractions. Consequentely it comes to a strong urge to urinate which in turn leads to an involuntary loss of urine. Motor urge incontinence goes often hand in hand with neurological diseases, such as Multiple sclerosis, Crohn's, Parkinson's disease.

Symptoms:

• Frequent urge to urinate
• Only small amounts of urine
• Urinary urgency comes again soon after urinating
• Sometimes incomplete emptying of the bladder
• Involuntary loss of urine

Treatment:

• Bladder retraining
• Electrostimulation
• Medical treatment
• Instillation therapy
• Self-catheterisation