About 10% of women between 25 and 64 years suffer from overactive bladder or urinary incontinence, according to data from the EPICC study, promoted by the Spanish Association of Urology.

Overactive bladder is a disorder whose symptoms include urgency and increased urination, sometimes accompanied by urinary incontinence. This situation generates insecurity in the patient who suffers while reducing their quality of life, especially when there are also involuntary losses of urine. To address this problem, experts like those from the Indas Institute recommend addressing this disorder in a multidisciplinary way and carrying out a training plan to reeducate the bladder.

If you go to the bathroom more than six or eight times a day, or just leave the house feel a sudden urge to urinate, it is best to consult your doctor, since you may suffer from overactive bladder (VH), a disorder whose main symptom is urinary urgency (sudden, unexpected and irrepressible desire to urinate) repeatedly, as well as an increase in urination frequency. "When urgency is accompanied by incontinence, it becomes a much greater problem for the patient since the appearance of urgency is associated with imminent, uncontrollable and random urination. All this causes a remarkable sense of insecurity that leads to a change in habits ", explains Dr. Salvador Arlandis, member of the Expert Committee of the Indas Institute and specialist assistant physician of the NeuroUrology and Urodynamics Unit of the Hospital Urology Service. The Faith of Valencia.

Training issue

To face the problem, the Expert Committee of the Indas Institute advises to follow a medical treatment and complement it with some changes in lifestyle: adequate diet, controlled fluid intake, moderate and non-impact exercise, as well as a plan of bladder training, which allows the patient to reeducate his bladder. "The bladder training program is based on learning progressively to hold more time between urinations, go with less urgency and urinate more each time the patient goes to the bathroom," says Dr. Salvador Arlandis.

Each time the patient feels an urge to go to the bathroom, he should try to hold on and delay urination for a few more minutes and progressively increase this 'waiting' time before urinating. "To be able to assess the evolution, you must fill in a voiding diary for a few days, where you write down the time you go to the bathroom, the amount in milliliters of each urination, and whether or not you have had a sense of urgency or loss of urine," notes Dr. Arlandis.

Some tips that can also help the patient to control the bladder are:

  • Sit and think about something else when you feel sudden urge to urinate.
  • Go to the bathroom quietly, without hurry.
  • Avoid going to the bathroom 'just in case', because it creates bad bladder learning habits.
  • Drink a reasonable amount of liquids (between one and two liters per day).
  • Do not abuse drinks that irritate the bladder (caffeine, alcohol ...).
  • Maintain a balanced diet to avoid constipation.
  • Practice pelvic floor exercises regularly (Kegel exercises), as the strength of the muscles can counteract the involuntary contractions of the bladder, while giving the patient confidence to hold urine and space visits to the bathroom.

Female Bladder Leakage: Solutions to Get Control‎ | UCLA Obstetrics & Gynecology (November 2019).