The Latest Treatments for Irritable Bladder
Irritable bladder refers to a situation where you do not have a precise cause, and you suddenly find yourself in the bathroom because you can not stand urge to urinate suddenly. At this time, irrespective of the intention of the person, urine may be accompanied by urge incontinence.
Overactive bladder seriously lowers the patient’s self-esteem and quality of life. Patients suffer chronic night sleep due to nighttime urination. If you wear a pad, you will have difficulty in interpersonal relationship due to anxiety that you may smell yourself. Also, wherever you go, you will be aware of the location of the toilet, which causes stress and anxiety. Especially in postmenopausal women with severe hormone changes, it can cause depression.
It is a common disease that one in ten domestic adults experience. Prevalence is higher than diabetes or cataract. However, only 27.5% of the patients are looking for a hospital. One in four. Experts are advised to urinate more than 8 times a day, to urinate unintentionally, to urinate, or to feel urgent and to seek help if there is a social problem.
There are two main reasons why patients do not seek hospitals. One is shame. It is a sensitive disease and I am reluctant to tell others. Another reason is that it is difficult to cure. In recent years, however, the treatment method has evolved and the treatment effect has improved significantly.
When you visit a hospital, you first try behavior therapy and medication. However, according to the Korean Society for Urinary Incontinence, 20 to 50% of patients are not satisfied with the outcome of medication. This is because the drug often does not react.
In the past, therapies were limited to behavioral therapy and medication, but in recent years new therapies have been emerging to increase the effectiveness of treatment. ‘Intravesical injection of botulinum toxin in the bladder’ and ‘Thorax neural control’.
Intravesical intravenous botulinum toxin injection is effective in the treatment of irritable bladder by paralyzing the detrusor and acting on various pathways to the sensory neurotransmitter system. However, the effect can not be predicted until the botulinum toxin paralyzes the muscles, and 6% of the patients suffer from side effects (temporary urination) due to side effects. Botolinum toxin should be given repeatedly every 6 to 9 months since the effect decreases with time.
The most recent treatment is shunting. It is a treatment that sends a fine electric stimulation that can not be felt by the patient to the transcranial nerve located in the pelvic bone. It is a simple procedure that can be done by local anesthesia only. You can insert the electric stimulator and battery under the hips. Battery life is about 5 years, battery can be replaced. In fact, 82% of patients with intractable irritable bladder have improved symptoms after receiving shunting, and 45% of patients have reported that they have no symptoms of urinary urgency.
Despite these various treatments, many patients still have difficulty with treatment. Injection of botulinum toxin in the bladder and shunting control can only be attempted after first receiving behavioral and medication treatment.
‘In case of botulinum toxin injection in bladder is 3 months, and in case of shyness control, there is no response to drug treatment for 6 months or more, or drug treatment is impossible due to side effects of drugs’. Patients suffer from the inconvenience of continuing ineffective treatment to meet insurance coverage standards.