A 70 old diabetic man presented with multiple profuse urination. He describes that every time he finishes his toilet, he has the same desire to urinate with a large amount.
What is the most likely cause?
A. Cystitis
B. Detrusor overactivity
C. Bladder diverticulum
D. Underactive bladder
E. Bladder outlet obstruction
#MRCS @admin @medicine
Treatments: Medications: Anticholinergics: These drugs (e.g., oxybutynin, tolterodine) block the action of acetylcholine on the bladder, reducing involuntary contractions. Beta-3 adrenergic agonists: Medications like mirabegron work by relaxing the bladder muscle and increasing its capacity. Topical estrogen (for postmenopausal women): This can help improve bladder function by strengthening the tissues in the urinary tract.
Invasive Treatments (if medications are ineffective): Botulinum toxin (Botox) injections: Injecting Botox into the bladder muscle can temporarily paralyze it, reducing involuntary contractions.
