For overactive bladder, you're likely to start by seeing your primary doctor.
After your initial appointment, you may be referred to a specialist in urinary disorders in men and women (urologist), a specialist in urinary disorders in women (urogynecologist), or a specialist in physical therapy for diagnosis and treatment.
Here's some information to help you get ready for your appointment, and what to expect from your doctor.
What you can do
- Keep a bladder diary for a few days, recording when, how much and what kind of fluids you consume, when you urinate, whether you feel an urge to urinate, and whether you experience incontinence. A bladder diary may help determine why you have to get up to urinate at night.
- Tell your doctor how long you've had your symptoms and how they affect your day-to-day activities.
- Note any other symptoms you're experiencing, particularly those related to your bowel function.
- Let your doctor know if you have diabetes, have a neurological disease, or have had pelvic surgery or radiation treatments.
- Make a list of all the medications, vitamins or supplements you take, as many medications can affect bladder function.
- Write down questions to ask your doctor.
For overactive bladder, basic questions might include:
- What are the possible causes of my symptoms?
- Is my urine clear?
- Do I empty my bladder well?
- Is my pelvic floor muscle strength good enough for me to keep my bladder from contracting when I have an abnormal urge?
- Do you recommend any other tests? Why?
- What treatments are available, and which do you recommend for me?
- What types of side effects can I expect from treatment?
- Are there any dietary restrictions that could help?
- How do my other health problems affect my bladder symptoms?
- If I need to see a specialist, what can I expect?
- Is there a generic alternative to the medicine you're prescribing?
- Are there brochures or other printed material that I can have? What websites do you recommend?
What to expect from your doctor
Your doctor may use an overactive bladder questionnaire to make an assessment of your symptoms, asking questions such as:
Sep. 26, 2014
- How long have you had these symptoms?
- Do you unexpectedly leak urine? How often?
- What do your symptoms keep you from doing that you like to do?
- During daily activities, such as walking or bending over, do you leak urine?
- Marinkovic SP, et al. The management of overactive bladder syndrome. BMJ. 2012;344:e2365.
- South-Paul JE, et al. Current Diagnosis & Treatment in Family Medicine. 3rd ed. New York, N.Y.: The McGraw-Hill Companies; 2011. http://www.accessmedicine. mhmedical.com/book.aspx?bookID=377. Accessed July 17, 2014.
- Overactive bladder. American Urological Association. http://www.urologyhealth.org/urology/index.cfm?article=112. Accessed July 17, 2014.
- What I need to know about bladder control for women. National Institute of Diabetes and Digestive and Kidney Diseases. http://kidney.niddk.nih.gov/kudiseases/pubs/bcw_ez/. Accessed July 17, 2014.
- Gormley EA, et al. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guidelines. Journal of Urology. 2012;188:2455.
- Treatment of overactive bladder in women. Rockville, Md.: Agency for Healthcare Research and Quality. http://www.ahrq.gov/downloads/pub/evidence/pdf/bladder/bladder.pdf. Accessed July 17, 2014.
- DuBeau CE. Approach to women with urinary incontinence. http://www.uptodate.com/home. Accessed July 17, 2014.
- Urodynamic testing. National Institute of Diabetes and Digestive and Kidney Diseases. http://kidney.niddk.nih.gov/kudiseases/pubs/urodynamic/. Accessed July 17, 2014.
- DuBeau CE. Treatment and prevention of urinary incontinence in women. http://www.uptodate.com/home. Accessed July 17, 2014.
- Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed July 17, 2014.
- Lightner DJ (expert opinion). Mayo Clinic, Rochester, Minn. July 29, 2014.
- McGrother CW, et al. Etiology of overactive bladder: A diet and lifestyle model for diabetes and obesity in older women. Neurology and Urodynamics. 2012;31:487.
- Rohrstad M, et al. Onabotulinum toxin A (Botox) in the treatment of neurogenic bladder overactivity. Nephro-Urology Monthly. 2012;4:437.
- Ellsworth PI. The pharmacologic management of idiopathic overactive bladder in primary care. Journal of Family Practice. 2014;63(suppl):S38.
- Cook AJ. Decision Support System. Mayo Clinic, Rochester, Minn. May 29, 2014.
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