Treatment for Bladder Disorders
Bladder disorders are a significant health problem affecting us economically
and socially. There are several types of bladder disorders, see below
Urinary Incontinence (loss of bladder control) has a prevalence among women of 3-17% (with
a much higher range between age 70 and 80) and 3-11% in males. There are
different types of incontinence including:
Stress Incontinence: Stress incontinence is the most common type of incontinence in women
and occurs when the bladder leaks urine during physical exertion or activity.
Urinary Urgency/ Urge Incontinence: Urinary urgency accounts for the most common type of incontinence for
men. It is sometimes called Irritable bladder, Spasmodic bladder, or Detrusor
hyperreflexia as the incontinence occurs when the bladder suddenly squeezes
or spasms, causing urine loss.
Urinary Frequency: Urination is normal every 2-3 hours but more than that is considered
Nocturia: Most people can sleep 6-8 hours with minimal need to wake (0-1 times)
to urinate. Waking more frequently to urinate is called nocturia.
Neurogenic Bladder: Neurogenic bladder is a term used to describe bladder disorders that
arise due to problems with the nerves that control the bladder. Neurogenic
bladder conditions can include different types of incontinence (urgency/
frequency), overactive bladder (OAB), or obstructive bladder (when the
flow of urine is blocked). This is common among people who have conditions
that affect the spinal cord or brain such as Multiple Sclerosis (MS),
Parkinson's disease, stroke, or spinal cord injury.
Interstitial Cystitis (IC): IC is a chronic inflammation of the bladder lining that causes bladder
pain and frequent, urgent urination.
Urinary Hesitancy: This condition is most common in older men with an enlarged prostate
gland and is characterized by difficulty initiating or maintaining the
flow of urination.
Cystocele: A Cystocele, also known as a prolapse of the bladder, is characterized
by the dropping or bulging of the bladder into the vagina. This can occur
when the supportive tissues of the bladder have been weakened and can
occur due to injury sustained during birthing a child, chronic straining
for bowel movements or constipation, chronic coughing, increased abdominal
pressure from obesity, or straining after heavy lifting.