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OVERACTIVE DETRUSOR -

Urgency, urge incontinence

The symptoms of urgency and urge incontinence together with frequency, too many trips to the toilet at night [nocturia] and bed-wetting are usually indicative of a bladder that is overactive. The detrusor muscle of the wall of the bladder should remain relaxed during filling but if it begins to contract then a trip to the toilet will become urgent!

This problem affects people of all ages and both sexes and for many people will have an inherited of familial basis.

While the symptoms may strongly suggest this problem the diagnosis is usually confirmed with a urodynamic study.

Because this is a disorder of function, not structure, the treatment will, usually be with medication, helped by pelvic floor exercises and maybe some ‘bladder retraining’.

Fortunately we now have more and improved medications available to treat this problem and treatment will be long term i.e.. Control not cure.

For those who fail to respond adequately to medications or who experience untoward side effects, consideration may be given to the injection of Botox into the bladder wall, or the insertion of a ’pacemaker’ to help regain control.

Botox has been used now for some 5 years and has appreciable success but needs to be repeated every6 months and is expensive.

The 3rd sacral nerve carries the nerves responsible for bladder [and bowel] control.

Inserting a very fine electrode through the 3rd sacral foramen and stimulating the 3rd sacral nerve with a pulse generator [pacemaker] is highly successful in the restoration of bladder and bowel control in those who have not responded to other treatments.

Unlike Botox, this procedure improves bowel urgency and incontinence also. and as many patients with severe problems with overactivity of the bladder will have both faecal and urinary incontinence.

Phone: [08] 8332 1111

Fax:     [08] 8332 5586

E-mail:

info@incontinence-sa.com.au

To contact us:

Suite 2, 128 Fullarton Road

Norwood

SA  5067

SPECIFIC PROBLEMS

The Home of Pelvic Floor & Bladder Control Problems in South Australia

ADELAIDE SPECIALIST INCONTINENCE SERVICES

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Specific problem —General

Stress Incontinence

Overactive Detrusor

Lower Urinary Tract Symptoms

Prolapse

Electrode and pulse generator

ADELAIDE SPECIALIST INCONTINENCE SERVICES

Neuromodulation

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