A constant and often violent urge to urinate – an irritable bladder – is highly annoying for the women concerned. For shame, however, many women fail to seek help. At alta uro, we shall address your symptoms, so the urge to urinate will soon be a thing of the past.

What are the possible causes of an irritable bladder?

Strictly speaking, the term of “irritable bladder” only refers to situations of an annoyingly frequent urge to urinate for which no other causes can be found. In the case of an irritable bladder, the bladder function is impaired. The women thus affected, feel the need to urinate much more often than physically necessary. In addition, patients may also suffer from an involuntary loss of urine, so-called “incontinence”.

However a constant urge to urinate or incontinence can also occur due to many other conditions such as inflammations, neurological diseases, a narrowing of the bladder neck, tumours, mental illnesses, or interstitial cystitis.

What diagnostic procedures are performed for an irritable bladder?

Initially, the most important thing is a detailed discussion with the patient, for which we schedule a lot of time as this will provide us with valuable information. Quite often, a so-called drinking and micturition protocol will be required. For this purpose, patients have to document how much they drink and measure the amount of their urine with a measuring cup. This documentation allows us to draw the first conclusions as to the function or dysfunction of the bladder. This is followed by a physical examination, a urine test, and an ultrasound scan. Additional diagnostics depend on the type of symptoms and include, for example, a cystoscopy or a measuring of bladder pressure (so-called urodynamic testing).

What are the treatment options for an irritable bladder?

The choice of treatment will depend on the underlying disease. If it is, for instance, an inflammation, it will be treated and the symptoms will soon disappear. However, if no causal therapy is possible, various treatment options may be considered. Although they will not eliminate the underlying cause, they may often greatly relieve the symptoms. Possible treatments include:

  • behavioural therapy and physiotherapy to train the bladder,
  • medication to reduce bladder activity,
  • operations such as the administration of botulinum toxin into the bladder,
  • in the case of so-called interstitial cystitis, the administration of drugs that rebuild the protective layer of the bladder,
  • electrical nerve stimulation through the skin (TENS).

The alta uro team of physicians always applies a therapeutic concept finely tailored to the respective cause of the irritable bladder and the individual symptoms. Thanks to this concept, which is adapted to the respective patient in as optimum a manner as possible, quite satisfactory therapeutic results may be achieved.