The bladder is connected to the kidneys by two tubes called ureters that carry urine into the bladder, where it is stored until you pass it into the outside world through a single tube called a urethra. An overactive bladder is a condition that results from sudden, involuntary contraction of the muscle in the wall of the urinary bladder. Overactive bladder is also referred to as urge incontinence and is a form of urinary incontinence (unintentional loss of urine). An infection of the bladder is one of the more frequent sites of infections in humans.
A frequent cause of infection of the bladder is insufficient urine production, for instance in hot weather. If this cleaning mechanism of the bladder is interrupted, for example because of loss of water in the form of sweat, the bacteria will not be flushed out of the bladder often enough and will get time to multiply. The examination is important to get information about the condition the bladder is in (which is important for the prediction of the outcome of an operation of the prostate) and to find the cause in cases of incontinence. In men, because the bladder is located near the prostate, the doctor will insert a finger in the male?s rectum to feel the bladder, while in women, the examination is performed through the vagina because the bladder is located in the womb. The more common cause of death related to the urinary tract is now sepsis (a blood stream infection resulting from a symptomatic infection in the urinary tract) rather than kidney failure.
Urine that is held too long before being eliminated may lead to infections of the bladder or ureters. A urinary tract infection can occur in the bladder, the kidney, or other parts of the urinary tract. Artificial urinary sphincter, common in young women, can cause temporary problems with bladder control. Commonsymptoms of neurogenic bladder and the infections it can cause are: leaking or dribbling urine frequent and urgent need to urinate pain or burning when urinating pain in the lower pelvis, stomach, lower back, or side change in the amount you urinate, either more or less chills fever. If a man does get an infection of the bladder, it often means that there is something else going on too: bladder stones, enlargement of the prostate, etc.
Proper cleaning of urinary care supplies can help prevent infection. You can also help prevent infection by completely emptying your bladder if you can. This helps prevent bacteria from being left in the body long enough to multiply. Clean skin is also an important step in preventing infection. Regular daily exercising of the pelvic muscles can improve and even prevent urinary incontinence. Antibiotics may be given to treat peritonitis and to prevent the development of urinary tract infections. This will prevent urine from accumulating in the bladder, which allows the injured bladder or urethra to heal.
Certain drugs may help the bladder stay relaxed and store urine longer, or an artificial sphincter may be necessary to stop the flow of urine. Drugs that relax bladder muscles and prevent bladder spasms include oxybutynin chloride (Ditropan), tolterodine (Detrol), hyoscyamine (Levsin), and propantheline bromide (Pro-Banthine), which belong to the class of drugs called anticholinergics. These drugs should be used with caution in men with a large prostate gland as the drugs may cause urinary retention. Drinking alcohol and using sedatives in combination with these antispasmodic drugs is contraindicated.