What are the new medicines to treat an overactive bladder?

Question

Hello Doctor,

I am 52 years old and experiencing symptoms of an overactive bladder, such as constant urgency, waking up at night to urinate frequently, and occasional leakage. I tried taking Oxybutynin, but it caused side effects like dry mouth and blurry vision. I would like to know if there are newer medications that cause fewer side effects. Are Mirabegron or Vibegron safer options? I have also heard about Botulinum Toxin injections into the bladder. Are they effective and safe? Could pelvic floor therapy help with these symptoms? Should I be checked for more serious conditions like a bladder tumor or interstitial cystitis?

Lastly, are there bladder training techniques that work in the long term? These symptoms are seriously affecting my sleep and social life.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Mirabegron and Vibegron are newer medicines that may cause fewer side effects than Oxybutynin. It is a good idea to discuss these options with your doctor to see if they are suitable for you. Botulinum Toxin injections into the bladder can be effective for some people with an overactive bladder, but they may need to be repeated over time. A possible side effect is urinary retention, which means difficulty emptying the bladder.

Pelvic floor therapy can also help manage symptoms of an overactive bladder. Your doctor can refer you to a physical therapist who specializes in pelvic floor exercises. It is important to consider whether a more serious condition, such as a bladder tumor or interstitial cystitis, could be causing your symptoms. Your doctor may recommend further testing if needed.

Bladder training techniques may also be helpful. These include gradually increasing the time between urinations, performing regular pelvic floor muscle exercises, and making adjustments to your daily habits, such as modifying fluid intake and avoiding foods or drinks that can irritate the bladder.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.