The main goal of treatment for overactive bladder syndrome is to relieve symptoms and improve quality of life. Patients are advised to keep a voiding diary to record in detail the time and volume of each urination so that the doctor can analyze the condition. Conservative treatment can be started with lifestyle interventions, bladder training and pelvic floor muscle exercise training. Through bladder training, patients can acquire the skills to control urination and interrupt the vicious cycle of mental factors. Methods to reduce the sensitivity of the bladder forceps: first, delay urination as much as possible and gradually make each urination greater than 300 ml; second, adopt regular urination to improve the quality of life. In addition, clinical practice has proved that acupuncture treatment can restore the coordinated function of the bladder forcing muscle and sphincter muscle.
There are two main types of drugs available for clinical use now: one is M cholinergic receptor blocker, which acts on M receptors on the detrusor muscle, thus reducing the frequency of detrusor activity and relieving the symptoms of urinary frequency, urinary urgency and urge incontinence of overactive bladder disorder. Since M cholinergic receptor blockers act on the intestinal tract and salivary glands at the same time, they may produce adverse effects such as mild constipation and dry mouth. There is also flavone permethrin, which relieves the spasm of the smooth muscles of the genitourinary system, decreases the efficiency of the contraction that causes bladder emptying, increases the capacity of the bladder, and eliminates the symptoms of urinary frequency and urgency.
For some patients with stubborn overactive bladder who have poor results with medication or patients who are intolerant to the side effects of medication, bladder pacemaker therapy is preferred. This method has the advantage of being minimally invasive, adjustable and reversible, and the price is still an important obstacle for the majority of patients to choose.
Some patients with overactive bladder disorders are combined with other conditions that must be treated simultaneously. For example, the symptoms of frequent and urgent urination in some menopausal women may be related to a decrease in estrogen levels in the body, and estrogen can be added to the treatment as appropriate. For patients with more severe symptoms, a combination of several drugs can be used to strengthen the inhibition of the bladder’s forced urinary muscles, which can achieve more satisfactory results.
Self-regulation modalities for overactive bladder: 1. Change poor lifestyle: such as pay attention to water and beverage intake, drink 6-8 glasses of water or beverages a day, avoid ingesting large amounts of water at once; quit drinking alcohol and all foods and beverages containing caffeine, try to ingest most of the water during the day and stop drinking near night; adjust diet to avoid ingesting foods and beverages that stimulate the bladder, such as coffee, tea, Chocolate and certain medications; avoid early toileting, confirm toilets beforehand, make toilet maps, etc.
(2) Bladder training: (1) Urine holding training: do not rush into the bathroom immediately when you feel the urge to urinate, but hold it for some time and wait for the feeling of urination to diminish; (2) Regular urination: develop the habit of urinating once an hour whether you need to or not, and then gradually increase the interval of urination until you can hold urination for 3-4 hours; (3) Suppress the urge to urinate: if you feel the urge to urinate before the fixed urination time, do not be nervous at this time. (3) suppress the urge to urinate: If you feel the urge to urinate before the fixed time of urination, you should not be nervous, you should shift your attention and do 5-10 deep breaths slowly.
(4) Pelvic floor muscle training: control the sphincter by stopping and starting to urinate during urination, try to contract the muscle for 3 seconds, then relax for 3 seconds, repeat 10 times, and do a set of 10 muscle contractions in 3 different positions – sitting, standing and lying down, so that gradually you can control the pelvic floor muscles in any position.