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Overactive Bladder — A Disturbing Problem. Presented by (insert name of presenter here). Overactive Bladder. Definition: Overactive bladder is a chronic condition in which the bladder starts to contract too early when it is filling with urine. Overactive Bladder. Urgency. Frequency. Urge

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Overactive bladder a disturbing problem l.jpg
Overactive Bladder — A Disturbing Problem

Presented by (insert name of presenter here)


Overactive bladder l.jpg
Overactive Bladder

Definition:

Overactive bladder is a chronic condition in which the bladder starts to contract too early when it is filling with urine.


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Overactive Bladder

Urgency

Frequency

Urge

incontinence

OVERACTIVE BLADDER


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Symptoms of Overactive Bladder

Frequency

Urge

Incontinence

Urgency

Bladder pressure

> urethral pressure


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Diagrammatic Representation of Overactive Bladder

Bladder pressure

> urethral pressure

Pressure


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Frequency

Going to the toilet often (more than eight times in a 24-hour period)


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Urgency

Astrongandsuddendesire to urinate


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Urge Incontinence

Urge incontinence occurs when there is a very strong urge to pass urine and which cannot be held back, resulting in the person wetting himself on the way to the toilet

Image source: Society for Continence (Singapore)


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Case Study 1

“My boyfriend and I don’t go out very often because of my problem. If we do go out, let’s say to a departmental store, the first thing that I look for is the toilet. If I can’t find one, I leave the store. That’s how serious the problem is.”

Devi, 27 years old


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Case Study 2

“I visit the toilet frequently during the day – about 10 or 12 times, I think? And at night I wake up 3 or 4 times just to go to the toilet. I used to think that if I go to bed later, I wouldn’t have to get up so often. But that’s not true.”

Michelle, 36 years old


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Case Study 3

“It’s so embarrassing. I see the lady who cleans the toilet more often than I see my colleagues or my boss. Because I am away from my desk so often, I always get these looks from my colleagues who think I’m lazy or trying to skive…I’m just too shy to tell anyone the truth.”

Ahmad, 53 years old


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Case Study 4

“Having this problem is really bothersome! For instance, I totally avoid taking the bus or the MRT because I can’t ask the driver to stop when I suddenly have the urge to go to the toilet, can I? Also, I always wear dark clothing and carry extra pads wherever I go – just in case I leak suddenly.”

Mdm Tan, 67 years old


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Problems Associated with Lack of Bladder Control

  • Physical

  • Psychological

  • Social

  • Sexual

  • Occupational/Financial


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Physical Problems

  • Limitation or stopping of physical activities

  • Discomfort due to dampness

  • Unpleasant odour

  • Skin rashes/ ulcers

  • Confinement in nursing homes

  • Falls

  • Insomnia

  • Dehydration


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Psychological Problems

  • Loss of independence - feels tied to home

  • Fear of embarrassment

  • Loss of dignity & self esteem

  • Depression

  • Feeling of being a burden

  • Suicide

  • Affects career


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Social Problems

  • Reduction in social interaction/ increased social isolation

  • Alteration of travel plans (e.g. plan around availability of toilets)

  • Cessation of some hobbies


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Sexual Problems

  • Avoidance of sexual contact


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Occupational/Financial Problems

  • Absence from work

  • Job loss

  • Change of job

  • Poor relationship with employers/ employee

  • Financial loss


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Vicious Circle of Bladder Control Problems

Isolation

Guilt

Social, domestic,

physical, sexual

and psychological

problems

Absence

from work

Depression


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Quality of Life

  • Studies show that thequality of life is significantly impairedin people withoveractive bladder.


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Quality of Life

  • The Short-Form-36 measures quality of life in eight health domains:

    • Physical functioning

    • Role limitations due to physical health

    • Bodily pain

    • General health perceptions

    • Vitality

    • Social functioning

    • Role limitations due to emotional problems

    • Mental health


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Quality of Life

  • Scores range from 0 to 100, with 100 representing perfect health.

  • Lower score represents lower quality of life.


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Physical Functioning

9

0

8

0

Overactive Bladder

7

0

Diabetes

Hypertension

6

0

Depression

5

0

Control Group

4

0

3

0


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Role Limitations (Physical)

9

0

8

0

Overactive Bladder

7

0

Diabetes

Hypertension

6

0

Depression

5

0

Control Group

4

0

3

0


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Bodily Pain

9

0

8

0

Overactive Bladder

7

0

Diabetes

Hypertension

6

0

Depression

5

0

Control Group

4

0

3

0


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General Health Perceptions

9

0

8

0

Overactive Bladder

Diabetes

7

0

Hypertension

6

0

Depression

5

0

Control Group

4

0

3

0


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Vitality

9

0

8

0

Overactive Bladder

Diabetes

7

0

Hypertension

6

0

Depression

5

0

Control Group

4

0

3

0


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Social Functioning

9

0

8

0

Overactive Bladder

Diabetes

7

0

Hypertension

6

0

Depression

5

0

Control Group

4

0

3

0


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Role Function Emotional

9

0

8

0

Overactive Bladder

Diabetes

7

0

Hypertension

6

0

Depression

Control Group

5

0

4

0

3

0


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Mental Health

90

80

Overactive Bladder

70

Diabetes

60

Hypertension

Depression

50

Control Group

40

30


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Summary

People with overactive bladder score similar to, or slightly lower than, individuals with diabetes or hypertension in the physical domains, and substantially lower than all other individuals, except those with depression, in the social and mental domains.


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Cause of Overactive Bladder

  • In the majority of cases, the underlying cause isunknown.

  • In some patients, the cause may be aneurologicaldeficit.

    • Multiple sclerosis

    • Stroke

    • Parkinson’s Disease

    • Spina Bifida

    • Spinal cord damage


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Summary

  • Overactive bladderis a disturbing problem.

  • It isNOTdue to aging.

  • It can betreated and improved.


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