However, success of therapy for neurogenic bladder can be difficult because of the underlying neuropathic disorder causing the bladder dysfunction. Patients can have an overactive detrusor muscle, but also the detrusor contraction may be weak and subsequently the patient cannot empty the bladder sufficiently. Anticholinergic therapy is a cornerstone for treatment of overactive bladders that fail to store properly. Oral medications such as hyosycamine, flavoxate and oxybutynin have been used extensively with oxybutynin being one of the most widely used. Adverse affects include dry mouth and constipation.
Overactive bladder is treatable.
However, perfect treatment options for patients with overactive and neurogenic bladder have yet to be found. Behavioral therapy involving regular relieving oneself is advised by many treating physicians as well as strengthening of bladder muscle. These steps involve diligent practice on part of the individual with overactive bladder.