Urinary Urgency/Frequency Syndrome:
With normal bladder function, when you feel your bladder is full you can control when you urinate by contracting a particular muscle in the bladder. In the case of an overactive bladder, the muscles receive the wrong nerve messages and contract unexpectantly, causing you to feel like you have to urinate right away or, in some cases, causing you to leak urine. Women who suffer from overactive bladder may experience voiding frequency >8 times a day, voiding frequency >2 times a night, sensation of incomplete bladder emptying, strong urge to urinate, and may suffer urinary leakage. There are many risk factors for overactive bladder including childbirth, pelvic surgery, neurologic diseases, aging, and certain medications. The workup for overactive bladder includes a complete medical history. Your doctor may require you to fill out a bladder diary. Most workups include an assessment for bladder infection, assessment for appropriate bladder emptying, and potentially complex bladder testing known as urodynamics. Treatments for overactive bladder include but are not limited to medications, pelvic floor therapy, Mona Lisa Touch Laser Therapy, Interstim bladder pacemaker, and botox.