Detrusor instability causes uncontrollable contractions of the detrusor muscle, leading to urge incontinence. It is common in older women and can be caused by neurological diseases, age, stress incontinence, and bladder changes. Treatment includes bladder training, medication, nerve stimulation, and surgery in severe cases. Behavioral therapy combined with medication is effective in most patients.
Detrusor instability is defined as the spontaneous and forceful urge to urinate due to uncontrollable contractions or spasms of the detrusor muscle. This condition of urge incontinence tends to be common among older women and has symptoms that involve frequent urination. Healthcare professionals conduct physical exams and tests to diagnose the medical condition. Men and women who experience detrusor instability are treated using a variety of methods, including medications, depending on the severity of the condition.
In most cases, the causes of detrusor instability are relatively unknown, but they can be associated with neurological diseases such as multiple sclerosis, spinal cord injury, and stroke. Other factors that can lead women or men to develop this condition include age, stress incontinence, and various bladder changes. An enlarged prostate can cause urge incontinence in men if bladder obstruction occurs. Complications such as inflammation, stones, or bladder cancer are among the many changes that cause detrusor instability. There are also social complications, including social isolation and psychological problems, associated with the condition.
Aside from the constant need to urinate, abdominal discomfort is a primary symptom of detrusor instability. Muscle contractions of the bladder often occur in neurologically normal patients. Difficulty delaying this contraction causes losses. Bladder muscles tend to contract at the wrong time or throughout the day when detrusor instability is present. Healthcare professionals can diagnose the condition by conducting a physical exam, blood tests, urinalysis, and a urodynamic evaluation.
Treatment for detrusor instability can vary between patients but usually begins with at least six weeks of bladder training to strengthen the pelvic muscles. Healthcare providers can also use anticholinergic drugs to reduce involuntary contractions of the pelvic muscles and increase the bladder’s ability to hold more fluid. Antidepressants and other medications may also be used while treating this condition.
Nerve stimulation is an additional method that doctors use to treat urge incontinence in patients who don’t respond to initial treatment efforts. Medical experts believe that nerve stimulation is effective in eliminating symptoms such as urgency, frequent urination and incontinence. Surgery such as augmentation cystoplasty is only done in severe cases of detrusor instability. Healthcare professionals believe that behavioral therapy, when combined with medications, is effective in treating the instability experienced by most patients. This belief is attributed to long-term improvements in bladder control after using this treatment plan.
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