Final answer:
Hyperactive detrusor activity, also known as detrusor instability, can be treated with medications to relax the bladder, pelvic floor exercises, bladder training, electrical stimulation, or surgery as a last resort. Elderly patients may require special consideration due to an increased risk of complications.
Step-by-step explanation:
Treatments for Hyperactive Detrusor Activity
The condition described as hyperactive detrusor activity, often referred to as detrusor instability or urge incontinence, involves uncontrolled contractions of the detrusor muscle in the wall of the bladder. This leads to a sudden and strong urge to urinate, which may result in involuntary leakage of urine. The treatments for this condition include:
Medication: Antimuscarinics or anticholinergics such as oxybutynin or tolterodine can be prescribed to relax the detrusor muscle, reducing its hyperactive contractions.
Pelvic Floor Exercises: Kegel exercises can help in strengthening the muscles around the bladder and urethra, aiding in controlling urination.
Bladder Training: Techniques to increase the intervals between voiding can also be helpful in managing the symptoms.
Electrical Stimulation: In some cases, delivering electrical impulses to nerves and muscles in the lower urinary tract can improve control over the detrusor muscle.
Surgery: As a last resort when other treatments have failed, a surgery might be considered to increase bladder capacity or to improve the support of the bladder.
It is important to note that treatments may vary based on the patient's age, health status, and severity of symptoms. Specifically, elderly patients may encounter more challenges and complications, thus careful consideration and consultation with a healthcare provider are essential.