បានធ្វើបច្ចុប្បន្នភាពចុងក្រោយ៖ ខែឧសភា 18, 2026
There are so many patients visiting my office with urinary frequency that has persisted for years. They have visited many clinics and hospitals, spending significant money without receiving a specific diagnosis. If you or your relatives experience this kind of problem, you might have what is called “Overactive Bladder Syndrome.”
What is Overactive Bladder Syndrome (OAB)?
The International Continence Society defines OAB as urinary urgency with or without incontinence, usually accompanied by increased daytime and nighttime urinary frequency, in the absence of any proven infection or obvious pathology. Patients commonly describe a “fear of leaking urine” and associated anxiety. Approximately 12% of the general population report OAB symptoms. Prevalence rises to 20% in women aged 70 and above.
When a patient comes to see me, I perform a full history, physical examination, frequency-volume chart, and urinalysis to exclude infection or urinary tract stones. Once other causes are ruled out, treatment follows a stepwise approach:
- Lifestyle modifications – fluid intake adjustment, smoking cessation, dietary changes
- Oral pharmacotherapy – the primary medical treatment for OAB
- Invasive procedures – endoscopic interventions for patients who do not respond adequately to medication
The important message is that OAB cannot be fully cured, but with consistent lifestyle changes and regular medication, most patients experience significant improvement. This condition is not life-threatening – it is a quality-of-life issue that is manageable with proper treatment. If you have any questions, don’t hesitate to ask or visit ខ្ញុំ at the Urology office.
If you have been urinating frequently without a clear cause or suspect overactive bladder, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. កក់ការពិគ្រោះយោបល់.
Frequently Asked Questions about Overactive Bladder (OAB)
Overactive Bladder Syndrome is a condition defined by urinary urgency – a sudden, compelling need to urinate that is difficult to defer – with or without urinary incontinence, usually accompanied by increased urinary frequency during the day and night. It occurs in the absence of infection or structural abnormality and affects approximately 12% of the general population, rising to 20% in women over 70.
OAB is caused by abnormal spontaneous contractions of the bladder muscle (detrusor overactivity) before the bladder is full. Contributing factors include aging, menopause, neurological conditions (such as stroke or Parkinson’s disease), pelvic floor weakness, obesity, excess caffeine or fluid intake, and bladder irritants. In many cases, no single identifiable cause is found.
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 – primarily anticholinergic agents or beta-3 agonists – are prescribed. For patients who do not respond adequately, advanced options include bladder Botox injections or sacral nerve modulation (neuromodulation therapy).
OAB cannot be fully cured in most cases, but it can be well-managed. With consistent lifestyle changes and regular medication, many patients achieve dramatic symptom improvement. For those with partial response to medication, the dose can be adjusted or alternative agents tried. Invasive procedures are available for refractory cases. The condition is not life-threatening and quality of life can be significantly restored with appropriate treatment.
Most adults urinate 6–8 times per day and once or not at all during the night. Urinating more than 8 times in 24 hours or waking up more than once per night to urinate (nocturia) may indicate OAB or another urological condition. However, frequency is also influenced by fluid intake, caffeine consumption, and medications. A frequency-volume chart completed over 3 days helps urologists assess the pattern and guide management.
ការបដិសេធ៖ ខ្លឹមសារនេះត្រូវបានសរសេរ និងពិនិត្យដោយលោកវេជ្ជបណ្ឌិត Soarawee Weerasopone ដែលជាគ្រូពេទ្យឯកទេសខាងប្រព័ន្ធទឹកនោមដែលមានវិញ្ញាបនបត្រនៅទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក។ វាត្រូវបានបម្រុងទុកសម្រាប់គោលបំណងអប់រំតែប៉ុណ្ណោះ ហើយមិនមែនជាដំបូន្មានផ្នែកវេជ្ជសាស្ត្រទេ។ តែងតែពិគ្រោះជាមួយអ្នកជំនាញថែទាំសុខភាពដែលមានសមត្ថភាពមុនពេលចាប់ផ្តើមការព្យាបាលណាមួយឡើយ។.
សរសេរ និងពិនិត្យផ្នែកវេជ្ជសាស្ត្រដោយ៖ វេជ្ជបណ្ឌិត សូរ៉ាវី វីរ៉ាសូផូន (វេជ្ជបណ្ឌិត ប៉ុម) — អ្នកជំនាញខាងប្រព័ន្ធទឹកនោមដែលមានវិញ្ញាបនបត្រពីក្រុមប្រឹក្សាភិបាល ទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក។ អ្នកស្រាវជ្រាវអន្តរជាតិ៖ មហាវិទ្យាល័យវេជ្ជសាស្ត្របៃឡ័រ (សហរដ្ឋអាមេរិក) · សាកលវិទ្យាល័យជូនថេនដូ (ជប៉ុន) · មន្ទីរពេទ្យអនុស្សាវរីយ៍ឆាងហ្គុង (តៃវ៉ាន់)។.
លោកវេជ្ជបណ្ឌិត សូរ៉ាវី វីរ៉ាសូផូន (លោកវេជ្ជបណ្ឌិត ប៉ុម) គឺជាគ្រូពេទ្យឯកទេសខាងប្រព័ន្ធទឹកនោមដែលមានវិញ្ញាបនបត្រនៅទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក ដែលមានជំនាញខាងសុខភាពបុរស ការវះកាត់ដោយមនុស្សយន្ត (ប្រព័ន្ធដាវីនស៊ី) និងការព្យាបាលគ្រួសក្នុងតម្រងនោម។ លោកបានបញ្ចប់អាហារូបករណ៍អន្តរជាតិនៅមហាវិទ្យាល័យវេជ្ជសាស្ត្របៃឡ័រ (សហរដ្ឋអាមេរិក) មន្ទីរពេទ្យសាកលវិទ្យាល័យជូនថេនដូ (ជប៉ុន) និងមន្ទីរពេទ្យអនុស្សាវរីយ៍ឆាងហ្គុង (តៃវ៉ាន់)។ ខ្លឹមសារវេជ្ជសាស្ត្រទាំងអស់នៅលើគេហទំព័រនេះត្រូវបានសរសេរ និងពិនិត្យដោយលោកវេជ្ជបណ្ឌិត សូរ៉ាវី ដោយផ្អែកលើបទពិសោធន៍គ្លីនិក និងការបណ្តុះបណ្តាលអន្តរជាតិរបស់លោក។.
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