OAB and OSA

[Blocksom]

hey everyone im new here!

So my first topic is this...
Has anyone ever had OAB (over active bladder) issues and OSA at the same time. My issue is I have nighttime leaks (bed wetting) and I was wondering if any one else has and with CPAP treatment that got better. I currently take medication for the OAB which is helping but hasn't fully resolved by night time issues. My thoughts are when I do get into deep sleep whenever that is, im so tired that I don't wake up to my body needing to urinate d/t my sleep apnea. I'm hoping over time ill notice that i do get better sleep and will wake up easier when i have to pee at night. Also need to focus on not drinking fluids as much before bed. Just wondering if anyone has had both and notice the nighttime events stop after starting treatment for sleep apnea.

Thanks!!

Michael

[Julie]

Cpap usually clears up the need to urinate at night (many bathroom trips) very quickly, if not all or immediately... a really good thing!

However, if you have other issues like prostate trouble, it can only do so much.

[Blocksom]

No prostate issue. Just overactive bladder.

[DreamDiver]

No prostate issue. Just overactive bladder.

Welcome Michael!

OAB at night is often termed nocturia or frequent urination at night. Sleep therapy often reduces nocturia. I used to have to get up two or three times a night. Now I often go through the entire night without having to pee. I'm not sure whether it will modify bed wetting behavior into getting-up-to-go behavior, but sleep therapy may reduce the number of bed wetting incidents. There are apparently a number of things that can cause bed wetting in adults that may not be sleep-therapy related. I'm guessing you already have talked to a doctor, but if not, it may be worth be talking with a urologist to determine if there are options for your specific cause of bed-wetting.

Chris

[Respiration99]

I found a big improvement in nocturia after going on the hose. Let's hope you can also get some relief.

[Blocksom]

Yeah ive been following up with my urologist. I was just wondering if anyone here has had not only freq urination at night but accidents as well.

[Pugsy]

I was just wondering if anyone here has had not only freq urination at night but accidents as well.

As you probably know nocturia is a common symptom of sleep apnea. IApnea isn't the only cause though.
I did have a few accidents before cpap. Not many but a handful. Not something most of us adults want to talk about and probably not very common but it can happen.
When sleep apnea is the cause of nocturia....those accidents will go away. Never had another one once I started on cpap and it's been coming on 11 years the end of this month.

Now I didn't have nocturia caused by OAB from anything else other than apnea...so I can't guarantee that you won't have any more accidents unless the common sleep apnea nocturia was tipping the scales to cause your problem.
It's all going to depend on how much your problem with nocturia is caused by sleep apnea and how much is the OAB from some other cause that is combined with typical sleep apnea nocturia.

I get the sense that you are wondering if the "accidents" will go away with cpap treatment and the answer is ....maybe.
It all depends on how much of your OAB is caused by the sleep apnea itself.
So there is a good chance it will and I will tell you that it's a nice bonus when it happens. Pre cpap I was getting up to pee almost every hour on the hour with a painfully full bladder each time...and yes there were a handful of accidents...and since being on cpap my nocturia has essentially become non existence and I rarely have to get up and pee even once during the night.

You don't have anything to lose and everything to gain though by using cpap and just maybe a good chunk of your night time peeing issues will go away. It all depends on how much of it is from OAB itself and how much of it is from apnea causing the kidneys to produce tons of urine as a response to the stress hormone the heart produces when it is under stress from apnea events.