Take 5: Detrusor instability

1 minute read

Much can be done at the primary care level to treat detrusor instability


Detrusor activity is associated with urgency and urgent continence.

“It usually means … the bladder is contracting instead of staying relaxed,” says Dr Ian Tucker, an urogynaenologist and gynaecologist at Adelaide Specialist Incontinence Services.

“There are lots that can be done at primary care level,” he says.

“The more mild, longer-term problems can certainly be treated with the lifestyle changes and medication. And there are quite a few medications available.”

These include anticholinergic preparations such as darifenacin, oxybutynin and solifenacin, which block the parasympathetic nerves to the bladder so that it stays more relaxed.

In this video, Dr Tucker answers the following questions:

– What are the underlying mechanisms and associations of detrusor instability?
– Is there an association between detrusor overactivity and irritable bowel?
– How is detrusor instability best managed?
– What medications may be useful in detrusor instability?
– How does sacral nerve stimulation help in detrusor instability?

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