What is Bladder?

Bladder is the organ that stores urine produced from kidneys. It is a pouch-shaped organ composed of smooth muscle structure. It can store approximately 500 cc urine in adults.

Most people are relieved by emptying their bladder while the bladder is still half full. This is possible when there are appropriate social and environmental factors, such as a toilet or private reserved space. The brain then sends a signal to the bladder to initiate urine output.

The frequency of urination depends on many factors, but is particularly related to the amount of fluid taken. Many people need to urinate less than 8 times a day, and not or urine 1 time at night.

What is Over Active Bladder (OAB)?

Over Active Bladder (OAB) is a disease of urinary storage symptoms of bladder.

Storage symptoms include:

  • The need for immediate urination and not being able to postpone this
  • Involuntary urinary incontinence
  • Need to urinate more often than usual
  • Waking up with the need to urinate at night


Symptoms of AAM are common and affect both men and women. 10-20% of people complain about these symptoms at various degrees in their lives.

OAB Symptoms Occur in Various Causes:

  • Spontaneous and spontaneous contraction in some people’s bladders live.
  • Some people feel more sensitive to bladder filling.
  • In some cases, kidneys produce more urine at night. This causes nocturnal. This may be related to older age and certain medical conditions.
  • Some people have smaller bladders, faster dollars.

Diagnosis of OAB

Your doctor will perform a number of tests to understand the causes of your symptoms.

OAB symptoms; urinary tract infections, urinary system tumors and stones or diabetes may also indicate different situations.

First of all, your doctor will take your medical history and make your physical examination. If there is a need, he can do other tests.

OAB Patient Compliance

Overactive bladder symptoms are quite troublesome but do not threaten your life. OAB symptoms may persist for a long time and there is no simple treatment.

Different treatment options are used. In most cases, patient compliance is the first step of treatment. You can discuss this with your doctor.

The following items help to ensure patient compliance
will be

  • Talk to your doctor to determine how much and when to take your fluid.
  • If you have a urinary incontinence problem, your doctor may recommend that you use a pad to prevent your clothes from getting wet.
  • If your doctor recommends, when you feel sudden urine, you will be encouraged to keep your urine longer and go to the toilet at longer intervals.
  • Pelvic muscles weaken with aging. By tightening the pelvic muscles, Kegel exercises can help you suppress your sudden urine sensation and regain the strength of your muscles.

Life Style Advices

In addition, general lifestyle changes help you manage your symptoms and improve your quality of life.

  • Take at least 1-1.5 liters of fluid every day and talk to your doctor if you get more.
  • If you live in a warm climate or if you are exercising too much, take more fluid.
  • Take less fluid during and before long travels
  • Take less liquid in the evening to wake up at night with urine request
  • Reduce the intake of alcohol and caffeine because they stimulate the bladder, which increases the amount of urine.
  • Some foods increase the symptoms of OAB by irritating the bladder. From the foods consumed, artificial sweeteners, spicy foods, caffeine, citrus fruits and their juices and carbonated beverages should be restricted.
  • Weight control (body mass index 18-25 kg / m2) reducing weight improves the symptoms of urinary incontinence.

Causes of urinary incontinence?

Urinary incontinence is an uncontrolled and unintended urinary incontinence situation. If this occurs on a regular basis, it is considered a medical problem. Although the risk of urinary incontinence increases with increasing age, it can also be seen in early ages. Women suffers from unrinary incontinence more than men. Generally urinary incontinence causes embarrassment of the person in society. Many patients are uncomfortable to talk about urinary incontinence with their doctors. If urinary incontinence occurs frequently or affects the quality of life, it is important to see a doctor and seek medical advice. In most patients urinary incontinence can be fully cured with different treatment options. These treatment options include; strengthening of pelvic floor muscles, drug treatments or surgical treatments. You can talk to your doctor about the treatment that is best for you.

Most Common Causes of Urinary Incontinence

  • Hormonal deficiencies
  • Weakness of pelvic floor muscles
  • Urinary incontinence due to neurological diseases
  • Urinary tract infection
  • Prostate growth

Common Risk Factors

  • Past pelvic surgeries
  • Previous prostate surgeries
  • Birth
  • Menopause

Urinary incontinence becomes more common with increased age. But it is not a normal process of aging.

Types of Urinary Incontinence

There are different types of urinary incontinence, depending on how and when the patient has urinary incontinence. This type of urinary incontinence is associated with which part of the urinary tract is affected.

Stress urinary incontinence

Stress urinary incontinence (SUI) is urinary incontinence during the following activities;

  • Coughing, sneezing or laughing
  • Exercises such as running or bouncing
  • Lifting heavy loads like shopping

During these activities, the pressure inside the bladder increases and urinary incontinence occurs. Your urinary tract or urinary retention muscles cannot withstand increased bladder pressure and urinary incontinence occurs.


Urge urinary incontinence (UUI)

Urge urinary incontinence (UUI) is a case of urinary incontinence, which occurs suddenly with a feeling of tightness that you cannot postpone. The bladder muscle will pinch, and urinary incontinence occurs.


Mixed type urinary incontinence

Your doctor may diagnose a mixed type of urinary incontinence if you are complaining of both stress and incontinence.

Talk to your doctor

It may be uncomfortable for you to talk about urinary incontinence with your urologist, but it is very important. Untreated urinary incontinence may lead to infections, skin rash or sexual problems. Depression, stress, damage to self-esteem and embarrassment. These problems can lead to a separation of yourself from society and deterioration of your social and business life. Your doctor will need to know what type of urinary incontinence you have and what causes it. Knowing this information by your doctor will help you to recommend the right treatment. You shouldn’t be ashamed when you talk about your urinary incontinence and ask questions.

  • Why is urine incontinence?
  • Is there a permanent treatment of this problem?
  • Which tests should I have?
  • What treatment option do you offer and how will this treatment help me?
  • What happens in the coming months and years if I don’t get treatment?
  • Can the medication improve my urinary incontinence?
  • Are there any side effects of medication?
  • Should I have surgery for my treatment?
  • What options are available for my treatment?
  • How soon can I see the results of the treatment?
  • How often do I have to go to my doctor again?