Bladder & Prostate Complaints

Definition

Patients with a hyperactive bladder experience a constant urge to urinate as soon as their bladder starts being filled up. In addition to an urgent, compelling and quasi-irresistible urge to urinate, hyperactive bladder symptoms may also include incontinence (loss of urine). Miction is very frequent both during daytime and at night. In extreme cases, patients may have to urinate 50 to 60 times per day. Bladder hyperactivity affects some 13% of the world’s adult population. In the United States alone, over 1 million individuals suffer from urge to urinate or other bladder conditions. A recent German study revealed that about 10% of all women are affected by this disease. Hyperactive bladder is also among the most frequent conditions found in the aging population.

The most effective measures to treat hyperactive bladder include bladder re-education, pelvic floor gymnastics, biofeedback and anticholinergic medication. However, certain patients fail to respond to any of these treatments. In such cases, mini-invasive stimulation of sacral nerve roots offers a safe alternative. This treatment consists in permanently implanting an electrical stimulator on sacral nerve roots. As a result, hyperactive reflexes are repressed, and the bladder remains calm until it fills up and normal miction is called for.