{"id":1044,"date":"2020-06-12T22:47:56","date_gmt":"2020-06-12T15:47:56","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1044"},"modified":"2026-08-15T00:21:25","modified_gmt":"2026-08-14T17:21:25","slug":"oab-frequenza-urina","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/it\/2020\/06\/12\/oab-frequency-urine\/","title":{"rendered":"Overactive Bladder (OAB): Why You Are Always Running to the Toilet"},"content":{"rendered":"<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Il miglior urologo in Chonburi e Cambogia\" class=\"wp-image-7037\" 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inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"Visualizza il profilo di Google Scholar\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">A steady stream of patients arrive at my office having had urinary frequency for years. They have been round several clinics and hospitals, spent a good deal of money, and still have no diagnosis. If that sounds familiar, there is a name for it \u2014 <strong>overactive bladder syndrome<\/strong> \u2014 and it is a great deal more common than most people realise.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The reason it goes undiagnosed for so long is built into its definition: OAB is what remains once infection and structural problems have been excluded. There is nothing to see on a scan and nothing to grow on a culture, so if nobody thinks of it by name, the search simply continues.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"1040\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/2020\/05\/21\/psa-screening-test\/female-urination\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Female-urination.jpg?fit=1000%2C667&amp;ssl=1\" data-orig-size=\"1000,667\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2&quot;,&quot;camera&quot;:&quot;ILCE-5100&quot;,&quot;created_timestamp&quot;:&quot;1555610761&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.008&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"The classical patient is aging female.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;The classical patient is aging female.&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Female-urination.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Female-urination.jpg?resize=800%2C534&#038;ssl=1\" alt=\"An older woman affected by urinary urgency and frequency from overactive bladder\" class=\"wp-image-1040\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Female-urination.jpg?w=1000&amp;ssl=1 1000w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Female-urination.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/Female-urination.jpg?resize=768%2C512&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">OAB becomes more common with age and is most often seen in older women.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">What overactive bladder actually is<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The International Continence Society defines OAB as <strong>urinary urgency<\/strong>, with or without incontinence, usually with increased frequency by day and night, and <strong>no proven infection or other obvious cause<\/strong>. Urgency is the key word \u2014 not simply going often, but the sudden compelling need that is hard to defer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patients describe it less clinically. What they tell me about is the fear of leaking, and the way it reorganises daily life around where the toilets are. Around <a href=\"https:\/\/f1000research.com\/articles\/4-1406\/v1\">12%<\/a> of the general population report OAB symptoms, rising to 20% of women aged 70 and over.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"1041\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/2020\/05\/21\/psa-screening-test\/restroom-symbol\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?fit=1000%2C1000&amp;ssl=1\" data-orig-size=\"1000,1000\" data-comments-opened=\"1\" data-image-meta=\"{&quot;caption&quot;:&quot;Restroom symbol&quot;,&quot;title&quot;:&quot;Restroom symbol&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"This condition makes patient go to toilet many times.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;This condition makes patient go to toilet many times.&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?resize=800%2C800&#038;ssl=1\" alt=\"A public toilet sign, representing how overactive bladder reorganises daily life\" class=\"wp-image-1041\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?w=1000&amp;ssl=1 1000w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?resize=800%2C800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/06\/WC.jpg?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Knowing where every toilet is becomes a habit \u2014 and that is what treatment aims to give back.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">How the diagnosis is made<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A full history and physical examination, a <strong>frequency-volume chart<\/strong> kept over three days, and urinalysis to exclude infection or stones. The chart does more work than patients expect: it turns &#8220;I go all the time&#8221; into a record of how often, how much, and when \u2014 which is what distinguishes a genuinely overactive bladder from simply drinking a great deal of tea or coffee.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Where the picture is unclear, or where symptoms have not responded to treatment as expected, a <strong>urodynamic study<\/strong> measures how the bladder actually behaves as it fills and empties. <strong>Dr. Soarawee performs urodynamic studies at Bangkok Hospital Headquarters<\/strong>, so this can be arranged without a separate referral.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Treatment, step by step<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Lifestyle and bladder training<\/strong> \u2014 adjusting how much and when you drink, cutting caffeine and other bladder irritants, stopping smoking, pelvic floor exercises, and gradually stretching the interval between visits to the toilet. This is unglamorous and it is also where most of the improvement comes from.<\/li>\n\n\n\n<li><strong>Farmaci per via orale<\/strong> \u2014 anticholinergic agents or beta-3 agonists, the mainstay of medical treatment. If the first drug only partly helps, the dose can be adjusted or a different agent tried; a disappointing response to one tablet is not the end of the road.<\/li>\n\n\n\n<li><strong>Procedures<\/strong> \u2014 for the minority who do not respond adequately, bladder botulinum toxin injection and sacral neuromodulation are the established options. <strong>Neither is performed at Bangkok Hospital Headquarters<\/strong>; if your case reaches that point, a referral to a centre that provides them can be arranged.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Two expectations worth setting at the start. <strong>OAB is usually managed rather than cured<\/strong>, so the goal is a bladder that no longer runs your day rather than one that behaves perfectly. And the improvement comes from doing the dull things consistently \u2014 patients who keep up the bladder training alongside the medication do markedly better than those who rely on the tablet alone.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What I most want patients to take away is that this is <strong>not something you have to live with silently<\/strong>. It is not life-threatening, which is precisely why it goes unmentioned for years \u2014 but it is a quality-of-life problem with real treatment behind it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Se hai urinato frequentemente senza una causa apparente o sospetti una vescica iperattiva, la dottoressa Soarawee Weerasopone offre consulenze specialistiche presso la sede centrale dell'ospedale di Bangkok. <a href=\"\/it\/Prenota una consulenza\/\">Prenota una consulenza<\/a>. \u00c8 possibile fissare un appuntamento presso l'Ospedale Samitivej Sriracha chiamando il reparto di urologia al numero <a href=\"tel:0880221445\">088-022-1445<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Domande frequenti sulla vescica iperattiva (OAB)<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">La sindrome da vescica iperattiva (OAB) \u00e8 un insieme di sintomi che colpiscono la vescica. I sintomi principali sono:\n\n*   **Urgenza minzionale improvvisa e irrefrenabile**, difficile da rimandare.\n*   **Aumentata frequenza urinaria**, cio\u00e8 dover urinare pi\u00f9 spesso del normale durante il giorno.\n*   **Nicturia**, cio\u00e8 doversi svegliare pi\u00f9 volte durante la notte per urinare.\n*   Pu\u00f2 essere presente anche l'**incontinenza urinaria da urgenza**, cio\u00e8 la perdita involontaria di urina che si verifica quando si avverte l'urgenza.\n\nL'OAB non \u00e8 una malattia in s\u00e9, ma un insieme di sintomi che possono avere diverse cause scatenanti, tra cui cambiamenti legati all'et\u00e0, problemi neurologici, infezioni del tratto urinario, o altre condizioni mediche.<\/strong> <p class=\"schema-faq-answer\">La sindrome della vescica iperattiva \u00e8 una condizione caratterizzata dall&#x27;urgenza urinaria \u2013 un bisogno improvviso e irresistibile di urinare, difficile da trattenere \u2013 con o senza incontinenza urinaria, solitamente accompagnata da un aumento della frequenza urinaria sia di giorno che di notte. Si manifesta in assenza di infezioni o anomalie strutturali e colpisce circa il 12,1% della popolazione generale, con una percentuale che sale al 20,1% nelle donne di et\u00e0 superiore ai 70 anni.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">La vescica iperattiva (OAB) pu\u00f2 essere causata da una serie di fattori, tra cui:\n\n* **Problemi muscolari:** I muscoli della parete della vescica possono contrarsi involontariamente, anche quando la vescica non \u00e8 piena.\n* **Problemi nervosi:** I nervi che controllano la vescica possono inviare segnali errati al cervello, causando la sensazione di dover urinare quando non \u00e8 necessario.\n* **Infezioni:** Le infezioni del tratto urinario possono irritare la vescica e causare sintomi di OAB.\n* **Condizioni mediche:** Alcune condizioni mediche, come il diabete, le malattie neurologiche (es. sclerosi multipla, Parkinson) e l'ictus, possono influenzare il controllo della vescica.\n* **Invecchiamento:** Con l'et\u00e0, i muscoli della vescica possono indebolirsi e i nervi possono funzionare meno efficacemente.\n* **Stitichezza:** La stitichezza cronica pu\u00f2 esercitare pressione sulla vescica e sui nervi circostanti, contribuendo all'iperattivit\u00e0.\n* **Alcuni farmaci:** Alcuni farmaci, come i diuretici, possono aumentare la produzione di urina e aggravare i sintomi.\n* **Fattori legati allo stile di vita:** Caffeina, alcol e bevande gassate possono irritare la vescica e peggiorare i sintomi.\n* **Fattori ormonali:** Nelle donne, i cambiamenti ormonali legati alla menopausa possono giocare un ruolo.\n\nIn molti casi, la causa specifica dell'OAB non pu\u00f2 essere identificata e viene definita \"idiopatica\".<\/strong> <p class=\"schema-faq-answer\">La vescica iperattiva (OAB) \u00e8 causata da contrazioni spontanee anomale del muscolo della vescica (iperattivit\u00e0 detrusoriale) prima che la vescica sia piena. I fattori che contribuiscono includono l'invecchiamento, la menopausa, condizioni neurologiche (come ictus o morbo di Parkinson), debolezza del pavimento pelvico, obesit\u00e0, eccessivo consumo di caffeina o liquidi e irritanti per la vescica. In molti casi, non viene trovata alcuna singola causa identificabile.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">La vescica iperattiva viene trattata con farmaci, esercizi per il pavimento pelvico, cateterismo intermittente, dispositivi per il controllo della vescica e in alcuni casi, interventi chirurgici.<\/strong> <p class=\"schema-faq-answer\">Treatment follows a stepwise approach. First-line management includes lifestyle modifications such as fluid regulation, bladder training, and pelvic floor exercises. If symptoms persist, oral medications &#8211; primarily anticholinergic agents or beta-3 agonists &#8211; are prescribed. For patients who do not respond adequately, advanced options include bladder botulinum toxin injection or sacral nerve modulation; these are not performed at Bangkok Hospital Headquarters and a referral can be arranged.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">La vescica iperattiva pu\u00f2 essere curata?<\/strong> <p class=\"schema-faq-answer\">Nella maggior parte dei casi, l'OAB non pu\u00f2 essere completamente guarita, ma pu\u00f2 essere ben gestita. Con cambiamenti costanti nello stile di vita e una terapia farmacologica regolare, molti pazienti ottengono un netto miglioramento dei sintomi. Per coloro che rispondono parzialmente ai farmaci, la dose pu\u00f2 essere adattata o si possono provare agenti alternativi. Sono disponibili procedure invasive per i casi refrattari. La condizione non \u00e8 pericolosa per la vita e la qualit\u00e0 della vita pu\u00f2 essere significativamente ripristinata con un trattamento appropriato.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">Quante volte \u00e8 normale urinare al giorno?<\/strong> <p class=\"schema-faq-answer\">La maggior parte degli adulti urina 6\u20138 volte al giorno e una o nessuna volta durante la notte. Urinare pi\u00f9 di 8 volte in 24 ore o svegliarsi pi\u00f9 di una volta per notte per urinare (nicturia) pu\u00f2 indicare OAB o un'altra condizione urologica. Tuttavia, la frequenza \u00e8 influenzata anche dall'assunzione di liquidi, dal consumo di caffeina e dai farmaci. Un diario minzionale compilato nell'arco di 3 giorni aiuta gli urologi a valutare il pattern e a guidare la gestione.<\/p><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> Questo contenuto \u00e8 stato scritto e revisionato dal Dr. Soarawee Weerasopone, urologo certificato presso la sede centrale del Bangkok Hospital. \u00c8 destinato unicamente a scopi educativi e non costituisce un parere medico. Nessun parere medico, diagnosi o prescrizione viene fornito tramite canali di messaggistica personale. Consultare sempre un professionista sanitario qualificato prima di iniziare qualsiasi trattamento medico.<\/p>\n\n\n\n<script type=\"application\/ld+json\">{\n    \"@context\": \"https:\\\/\\\/schema.org\",\n    \"@type\": \"MedicalWebPage\",\n    \"headline\": \"Overactive Bladder (OAB): Why You Are Always Running to the Toilet\",\n    \"description\": \"What overactive bladder is, why it goes undiagnosed for years, how the frequency-volume chart and urodynamic studies establish the diagnosis, and the stepwise treatment from bladder training through medication.\",\n    \"datePublished\": \"2020-06-12\",\n    \"dateModified\": \"2026-08-12\",\n    \"inLanguage\": \"en\",\n    \"author\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\",\n        \"url\": \"https:\\\/\\\/drsoaraweeurology.com\\\/\"\n    },\n    \"reviewedBy\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\"\n    },\n    \"about\": {\n        \"@type\": \"MedicalCondition\",\n        \"name\": \"Overactive Bladder\",\n        \"alternateName\": \"OAB\"\n    }\n}<\/script>","protected":false},"excerpt":{"rendered":"<p>Years of urinary urgency, clinic after clinic, and still no diagnosis \u2014 overactive bladder is common, real, and manageable. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains what OAB is, how it is diagnosed, and the stepwise treatment that works.<\/p>","protected":false},"author":185281453,"featured_media":10073,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Overactive bladder (OAB) explained: urgency and frequency without infection, how it is diagnosed with a frequency-volume chart and urodynamics, and the stepwise treatment from bladder training to medication. 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