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 for details:

  • 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 frequent urination
  • 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.