With an overactive bladder, you may:
- Feel a sudden urge to urinate that's difficult to control
- Experience urge incontinence — the involuntary loss of urine immediately following an urgent need to urinate
- Urinate frequently, usually eight or more times in 24 hours
- Awaken two or more times in the night to urinate (nocturia)
Although you may be able to get to the toilet in time when you sense an urge to urinate, unexpected frequent urination and nighttime urination can disrupt your life.
When to see a doctor
Although it's common among older adults, overactive bladder isn't a normal part of aging. If your symptoms distress you, consider behavior strategies and management options. Treatments are available that might help you.
Discussing such a private matter with your doctor might not be easy, but it's worthwhile to take that risk — especially if your symptoms disrupt your work schedule, social interactions and everyday activities.
Sept. 26, 2014
- 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.