Symptoms of a spastic or overactive bladder include a sudden urge to urinate, involuntary loss of urine and urination that occurs as frequently as eight times in a 24-hour period, explains Mayo Clinic. Another symptom is waking up more than two times per night to urinate.
Spastic bladder is common in older adults and treatable with behavioral techniques and medications, explains Mayo Clinic. Behavioral treatments include doing pelvic floor exercises, keeping weight under control, limiting fluid intake, double voiding and making toilet trips every two to four hours to increase control.
The medications doctors prescribe for those who suffer from spastic bladder may take the form of oral medication or injections directly into the bladder, notes Mayo Clinic. The oral medications typically relax the bladder, which helps to reduce instances of incontinence. Some examples of these medications include Gelnique, Ditropan XL and Myrbetriq. Injections of Botox and other medications help paralyze the bladder.
Nerve stimulation and surgery are also treatment methods for spastic bladder, adds Mayo Clinic. Nerve stimulation is a type of surgical procedure, and surgery to increase the capacity of the bladder may also improve the condition. Finally, bladder removal is a last resort for those suffering from spastic bladder.