ARE YOU MISSING OUT
ON MOMENTS THAT MATTER?

Could you be at risk of
overactive bladder?

Could you be at risk of overactive bladder?

UNDERSTANDING OVERACTIVE BLADDER (OAB)

UNDERSTANDING
OVERACTIVE BLADDER
(OAB)

Overactive bladder is a very common condition where patients feel a sudden
and urgent need to pass urine. This sensation is difficult to put off and is
usually coupled with the need to urinate frequently at any time regardless
during the day or at night.

Overactive bladder is a very common condition where patients feel a sudden and urgent need to pass urine. This sensation is difficult to put off and is usually coupled with the need to urinate frequently at any time regardless during the day or at night.

The four key symptoms associated with OAB are:

URGENCY

URGENCY

Where there is an urgent need to urinate despite not having a full bladder.

FREQUENCY

FREQUENCY

When individuals need to urinate frequently during the day.

NOCTURIA

NOCTURIA

When individuals wake up more than once each night to urinate.

URINARY
INCONTINENCE

URINARY
INCONTINENCE

When there is an involuntary leakage of urine. This means a person urinates when they do not want to.

WHAT ARE THE RISK FACTORS
ASSOCIATED WITH
OVERACTIVE BLADDER?

OAB affects the quality of life of approximately 17% o f adults worldwide. The prevalence of OAB increases with age among both men and women, with one third of these patients experiencing incontinence. In women, as many as 45% will have urinary incontinence in their lifetimeiv.

Additionally, obesity may be another risk factor as the extra weight puts additional pressure on the bladder. Furthermore, obesity can lead to conditions that affect blood flow and nerve activity in the bladder.

WHAT ARE THE IMPLICATIONS
OF OVERACTIVE BLADDER?

WHAT ARE THE
IMPLICATIONS OF
OVERACTIVE BLADDER?

Most people with OAB are embarrassed of their conditions and as a result, they do not like to talk about it. However, this can have a negative impact on their life if their condition is not managed properly. Patients are prone to depression, sleep disturbances and even anxietyvi.

COVID-19 &
OVERACTIVE BLADDER

COVID-19 &
OVERACTIVE BLADDER

During the Covid-19 pandemic, many may feel uncertain about leaving their house to visit a specialist. However, these individuals can explore scheduling a virtual consultation with their urologists or urogynecologists. This can help identify the type of incontinence faced by the patient and exclude other conditions such as infection or bladder cancer.

The specialists will also be able to ascertain if it is safe to prescribe treatment remotelyviii.

IMPLICATIONS OF
OVERACTIVE BLADDER

OAB patients tend to develop coping strategies to manage or hide their problems. These include isolating themselves from social activities, mapping out all toilets when they are out in public, or even reducing fluid intake. While they may find these strategies an effective way to manage their condition, in the long run they will result in an adverse impact on the patient’s quality of lifevi.

Furthermore, among elderly patients, there have been reports of increased hip fractures due to nocturia. This happens when patients trip or lose their balance while struggling to get out of bed to use the restroom, thereby causing damage to their wellbeing and physical mobilityvi.

The prevalence of OAB is relatively high amongst Malaysians; studies have indicated that 64% of urban dwellers are afflicted with this condition. Among working professionals, 43% are living with OAB and 26% of the patients are high-income earnersvii.

However, a lot of patients seem to associate OAB as part of the normal ageing process and accepted their condition as it is without seeking treatment from a healthcare professional. What many do not realise is that OAB is a treatable condition and that they need to seek advice from their physicians for best management practices. This will improve their chances of facing OAB’s implications and symptoms in their daily lives.

References

i. Overactive Bladder (OAB) News from Medical News Today. Medicalnewstoday.com. (2021). Retrieved 19 March 2021, from https://www.medicalnewstoday.com/categories/oab.
ii. Nocturia: Causes, Treatments, and Prevention. Healthline. (2021). Retrieved 19 March 2021, from https://www.healthline.com/health/urination-excessive-at-night.
iii. Urinary incontinence: Treatment, causes, types, and symptoms. Medicalnewstoday.com. (2021). Retrieved 19 March 2021, from https://www.medicalnewstoday.com/articles/165408.
iv. Association of Reproductive Health Professionals, Diagnosis and Management of Overactive Bladder, http://www.arhp.org/uploadDocs/OABQRG.pdf, last accessed 30 Sept 2015
v. Overactive Bladder Causes: Risk Factors, Triggers, and More. Healthline. (2021). Retrieved 19 March 2021, from https://www.healthline.com/health/overactive-bladder-causes#risk-factors.
vi. How does overactive bladder (OAB) affect quality of life?. Medscape.com. (2021). Retrieved 19 March 2021, from
https://www.medscape.com/answers/459340-94287/how-does-overactive-bladder-oab-affect-quality-of-life.
vii. C.C.K. Ho et. al, Prevalence and risk factors associated with overactive bladder, UroToday Int J. 2012 Feb;5(1):art 88. http://dx.doi.org/10.3834/uij.1944-5784.2012.02.06
viii. Urinary incontinence & the coronavirus pandemic | Top Doctors. Top Doctors. (2021). Retrieved 19 March 2021, from
https://www.topdoctors.co.uk/medical-articles/urinary-incontinence-during-the-covid-19-pandemic#.

i. Overactive Bladder (OAB) News from Medical News Today. Medicalnewstoday.com. (2021). Retrieved 19 March 2021, from https://www.medicalnewstoday.com/
categories/oab.
ii. Nocturia: Causes, Treatments, and Prevention. Healthline. (2021). Retrieved 19 March 2021, from https://www.healthline.com/health/
urination-excessive-at-night.
iii. Urinary incontinence: Treatment, causes, types, and symptoms. Medicalnewstoday.com. (2021). Retrieved 19 March 2021, from https://www.medicalnewstoday.com/
articles/165408.
iv. Association of Reproductive Health Professionals, Diagnosis and Management of Overactive Bladder, http://www.arhp.org/uploadDocs/
OABQRG.pdf, last accessed 30 Sept 2015
v. Overactive Bladder Causes: Risk Factors, Triggers, and More. Healthline. (2021). Retrieved 19 March 2021, from https://www.healthline.com/
health/overactive-bladder-causes#risk-factors.
vi. How does overactive bladder (OAB) affect quality of life?. Medscape.com. (2021). Retrieved 19 March 2021, from
https://www.medscape.com/answers/
459340-94287/how-does-overactive-bladder-oab-affect-quality-of-life.
vii. C.C.K. Ho et. al, Prevalence and risk factors associated with overactive bladder, UroToday Int J. 2012 Feb;5(1):art 88. http://dx.doi.org/10.3834/uij.1944-5784.2012.02.06
viii. Urinary incontinence & the coronavirus pandemic | Top Doctors.
Top Doctors. (2021). Retrieved 19 March 2021, from
https://www.topdoctors.co.uk/medical-articles/urinary-incontinence-during-the-covid-19-pandemic#.