Overactive Bladder

N32.8


DESCRIPTION

A clinical syndrome consisting of urinary frequency (both day-and night time) and urgency, with or without urgency incontinence,

GENERAL MEASURES

Urine dipstick to exclude an UTI.

Health education.

Avoid caffeine containing, alcoholic and carbonated beverages.

Pelvic floor muscle training: three sets of 8-12 contractions sustained for 8-10 seconds each, performed three times a day. Patients should continue for at least 15-20 weeks.

MEDICINE TREATMENT

For detrusor hyperactivity:

  • Oxybutynin, oral, 2.5–5 mg 8 hourly. Specialist initiated.

LoEIII [25]

REFERRAL

  • For confirmation of diagnosis.
  • Complications.
  • Not responding to medical therapy.