Understanding Bladder Control Medications (cont.)
IN THIS ARTICLE
Cholinergic Drugs for Bladder Problems
This class of drugs includes bethanechol (Duvoid, Urecholine). Cholinergic refers to nerve cells or fibers that use a certain type of chemical to send signals within the body. Cholinergic drugs are used when the bladder is not emptied completely following urination. This problem is known as residual urine in the bladder.
Beta Agonists for Bladder Problems
This class of medication, mirabegron (Myrbetriq), works by relaxing the bladder muscle during the storage phase, thus increasing the capacity of bladder to hold more urine. They can be used for the treatment of overactive bladder (OAB). Mirabegron (Myrbetriq) is the first drug in this category.
Other Bladder Control Medications
If symptoms of urinary incontinence are thought to be caused by an enlarged prostate, different medications can be offered to reduce these symptoms. The prostate gland wraps around the urethra (the urinary outlet from the bladder), and if it is enlarged, it could squeeze the urinary passage tight, making the emptying of bladder more difficult and incomplete.
In brief, the following categories are available for the treatment of urinary symptoms caused by an enlarged prostate (prostatic hypertrophy):
Botox Injection for Bladder Problems
Botox (onabotulinumtoxinA) injection has recently been approved by the Food and Drug Administration (FDA) for the treatment of overactive bladder (OAB) for patients who have failed to respond to standard therapy with anticholinergic medications.
Overactive bladder is a type of urinary incontinence caused by overactivity of the muscles in the bladder, causing frequent squeezing of the bladder and, thus, frequent urge to urinate. Botox can be injected into the bladder directly through a cystoscope (catheter with a camera going into the bladder via the urethra).
Medically reviewed by Michael Wolff, MD; American Board of Urology
Medically Reviewed by a Doctor on 11/21/2017
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