Diagnosis Overactive Bladder
The doctor does a series of tests to understand what causes your symptoms. This is called a diagnosis. Overactive bladder symptoms can point to other conditions. Part of the diagnosis is ruling out other possible explanations for the symptoms, such as urinary infection or diabetes.
First, the doctor or nurse will take your medical history and do a physical examination. If needed, other tests will be performed.
This section offers general information about diagnosis and situations can vary in different countries.
The doctor will take a detailed medical history and ask questions about your symptoms. You can help your doctor by preparing for the consultation:
- Describe your current symptoms
- Note how long you have had the symptoms for
- Make a list of the medication you are taking
- Make a list of previous surgical procedures
- Mention other diseases you suffer from
- Describe your lifestyle (exercising, smoking, alcohol, and diet)
Your doctor or nurse will do a general physical examination focussing on:
- your abdomen
- your genitals
- the nerves in your back
You will need to give some of your urine for testing. The test will show if you have a urinary tract infection and if there are traces of blood or sugar in the urine.
Your doctor may ask you to keep a bladder diary. Here you will note down how much you drink, how often you urinate, and how much urine you produce. The bladder diary is important because it helps your doctor to understand your symptoms better. You can print a bladder diary.
This is a simple test which electronically records the rate of urine flow. It is easily done in privacy at the hospital or clinic. You will urinate into a container, called a uroflowmeter (Fig. 1). This test helps your doctor to check whether there is any obstruction to the flow of urine out of the bladder.
Imaging of the bladder
You will get an ultrasonography (also known as ultrasound), which uses high-frequency sounds to create an image of your bladder.
The doctor or nurse will scan your bladder to check how much urine is left in the bladder after urinating. This information helps to see if your symptoms are caused by urine retention in the bladder after urinating.
If there is blood in the urine, you need a bladder examination. The doctor uses a type of endoscope– called a cystoscope – to look inside the bladder, usually under local anaesthesia.
A urodynamic test is done to get more information about your urination cycle and how your bladder muscles work. During the test, your doctor inserts catheters in your urethra and rectum to measure the pressure in your bladder and abdomen.