Urinary urgency, frequent urination, nocturia, urinary incontinence, 4 major symptoms affect the quality of life

  ”Overactive bladder syndrome, also known as bladder hyperactivity, is a syndrome characterized by symptoms of urinary urgency caused by overexcitation of the bladder and overactivity of the detrusor muscle, often accompanied by frequent urination and nocturia symptoms, and can be accompanied by urge incontinence. The overall prevalence of overactive bladder in people over 40 years of age in China is 11.3%. In other words, 1 in 10 people over 40 years of age in China have overactive bladder disorder.  Overactive bladder disorder can occur in both male and female populations of all ages, and the prevalence increases with age. It usually affects about 1 in 5 women after age 45 and about 1 in 4 men after age 55.  Urinary urgency is the most predominant symptom of overactive bladder disorder and is manifested by a sudden, intense urge to urinate that is difficult to delay. In addition, symptoms of overactive bladder disorder include frequent urination (urinating more than 8 times in 24 hours with less than 200 ml per voiding), nocturia (needing to get up to go to the bathroom 1 or more times during the night), and urge incontinence (involuntary leakage of urine accompanied by or occurring immediately after the onset of urgency).  These symptoms cause a lot of confusion for patients in real life and are the most obvious factors affecting their quality of life. Some patients use adult diapers and pads throughout the day or wear dark, loose-fitting, fatty clothing and go out less. When they go out, they think about finding the toilet first and choose a location close to the restroom or exit when taking public transportation such as airplanes and trains, etc. In addition to psychological stress and mental strain, more serious overactive bladder disorder can also increase the risk of falls, fractures and depression. Quality of life questionnaires show that although overactive bladder disorder is not fatal, the 4 major symptoms have a more severe impact on patients’ quality of life than the major symptoms have a more severe impact on patients’ quality of life than diabetes.  Although the prevalence of overactive bladder disease has surpassed that of diabetes, the rate of consultation is much lower than that of diabetes. Studies have shown that upwards of 50% of patients with overactive bladder have never been seen. In addition to the low prevalence of overactive bladder disease, many patients with overactive bladder mistakenly regard urinary urgency, frequency, nocturia, and incontinence as inevitable natural phenomena of aging and do not pay attention to them; in addition, some patients are too shy to seek medical attention and delay treatment, which is also the main reason for the continued low rate of overactive bladder consultation. Patients should seek the help of a urologist for a clear diagnosis and standardized treatment once the above four symptoms are detected.