Overactive Bladder (OAB) is emerging as a silent but significant health concern in Madurai. Despite affecting a growing number of individuals, particularly post-menopausal women and the elderly, the condition continues to remain under-reported and under-discussed. Healthcare professionals in the city are urging the public to acknowledge the symptoms of OAB, break the silence surrounding it, and seek timely medical help.
OAB is a condition characterized by a sudden, uncontrollable urge to urinate, often accompanied by increased frequency and nocturia (frequent urination at night). These symptoms can severely impact daily life, causing social anxiety, sleep disturbances, and even depression. Yet, many people in Madurai dismiss these signs as a normal part of ageing or post-childbirth changes, not realizing that effective treatments and lifestyle interventions are available.
According to Dr. V. Meenakshi Sundaram, Consultant Urologist and Andrologist, DISHA HOSPITAL (24×7 Emergency Urological Services), a key reason OAB goes unaddressed is the lack of awareness and open conversation about urological health. This silence, coupled with misconceptions and stigma, prevents many from accessing timely care. In women, especially those who are post-menopausal, hormonal changes and pelvic floor weakening increase susceptibility. In men and women alike, age-related changes, diabetes, obesity, and sedentary habits also contribute to bladder dysfunction. Many females also hesitate to consult a male urologist, which further delays diagnosis and treatment—they must be encouraged to come out of that stigma.
Chronic conditions such as diabetic neuropathy, cardiovascular disease, and renal disorders play a major role in aggravating bladder issues. Recurrent urinary tract infections (UTIs), pelvic floor trauma due to childbirth, and certain neurological disorders like Parkinson’s disease and multiple sclerosis further increase the risk. Additionally, lifestyle factors such as excessive intake of caffeine, smoking, and the use of some medications can trigger or worsen symptoms.
Constipation and chronic coughing, which increase intra-abdominal pressure, are also significant but often overlooked contributors. In a city like Madurai, where there is a growing ageing population and rising cases of lifestyle diseases like diabetes, these risk factors cannot be ignored.
“We often see patients who have been silently suffering with OAB symptoms for years. The most common reason they delay seeking help is embarrassment or the belief that it’s just a part of getting older. Overactive Bladder is a manageable condition. The earlier it is addressed, the better the outcomes. We must encourage open conversations about bladder health to reduce stigma and improve quality of life,” said Dr. V. Meenakshi Sundaram.
Doctors emphasize the importance of early intervention, lifestyle modifications, and regular health check-ups. Pelvic floor exercises, weight management, fluid and diet control, and timely management of chronic illnesses are among the key preventive strategies.
As awareness grows, urologists in Madurai are optimistic that more patients will come forward, not just to seek treatment but to talk openly about bladder health. Creating a supportive environment where people feel comfortable discussing these issues is critical to improving outcomes and ensuring better urological health for all.