Effective treatment options for vesical spasms, which include medication, lifestyle changes and home remedies. Find relief for vesical spasms today.

Effective treatment options for vesical spasms, which include medication, lifestyle changes and home remedies. Find relief for vesical spasms today.

Vesical spasms, also known as involuntary contractions of the bladder muscles, can significantly affect the quality of life due to the sudden and uncontrollable need to urinate. This condition, often caused by various underlying factors such as urinary tract infections, bladder inflammation or neurological disorders, can be uncomfortable and distressing. Fortunately, there are several treatment options available to relieve vesical spasms and provide relief of associated symptoms.

1. Medications: A common approach to treat vesical spasms implies the use of medicines specifically designed to relax the bladder muscles and reduce urinary urgency. These medications usually belong to the anticholinergic class, which block the nerve signals that trigger the bladder contractions. Some examples of anticholinergic drugs are usually prescribed are oxybutinine, tolterodine and solyphenacin.

Note: It is essential to consult a health professional before starting to take any medication for vesical spasms, since they can have side effects such as dry mouth, constipation or blurred vision. In addition, certain medications may not be suitable for individuals with specific medical conditions or for those who take other medications.

2. Pelvic soil exercises: Strengthening pelvic soil muscles can help improve bladder control and reduce the frequency of spasms. Pelvic floor exercises, also known as Kegel exercises, consist in contracting and relaxing the muscles that support the bladder and intestine. The regular practice of these exercises can improve bladder control and reduce bladder tenesm.

3. Bladder training techniques: Bladder training is a behavioral therapy approach whose objective is to gradually increase time intervals between urination and recover control over the bladder function. This technique is to follow a predetermined schedule to urinate instead of immediately responding to urinating. By gradually expanding the time between visits to the bathroom, the bladder can be trained to retain greater urine volumes and reduce the appearance of spasms.

Treatment Options for Bladder Spasms

1. Medications:

  • Antimuscarinic drugs: These medications act by blocking the signals that make the bladder muscles involuntarily contract. Among the habitual prescription antimuscarinic drugs are oxybutinine, tolterodine and solyphenacin.
  • Beta-3 adrenergic agonists: These medications help relax the bladder muscle activating specific receptors. Mirabegrón is a commonly prescribed beta-3 adrenergic agonist to treat vesical spasms.

2. Modifications of lifestyle:

Together with medication, certain modifications of lifestyle can be beneficial to control vesical spasms. These may include:

  1. Avoid bladder irritants: some substances, such as caffeine, alcohol and spicy foods, can irritate the bladder and trigger spasms. Limiting or eliminating the consumption of these irritants can help reduce symptoms.
  2. Bladder training: Practicing programmed urination and gradually increase time between urination can help train the bladder to retain more urine and reduce the frequency of spasms.
  3. Pelvic soil exercises: Strengthening pelvic soil muscles through exercises such as Kegel can improve bladder control and reduce spasms.

Note: It is important to consult with a healthcare professional before making significant changes in medication or incorporating modifications to lifestyle to ensure that they are appropriate to individual circumstances.

3. 3. Invasive treatments:

In cases where conservative approaches do not provide sufficient relief, invasive treatments can be considered. These may include:

Treatment option Description
Botox injections Botulinum toxin is injected into the bladder muscle, temporarily paralyzing it and reducing muscle spasms.
Nervous stimulation Electrodes are implanted near the bladder or jacketed nerves to administer a selective electrical stimulation that regulates the bladder activity.
Surgery In some cases, surgical interventions may be recommended to treat underlying conditions that contribute to vesical spasms, such as vestical diverticula or bladder calculations.

In general, a combination of medical intervention, modifications of lifestyle and, if necessary, invasive treatments can provide effective treatment of vesical spasms. It is essential to collaborate closely with a healthcare professional to determine the most appropriate treatment plan based on individual needs and preferences.


In the treatment of vesical spasms, medicines play a crucial role in controlling symptoms and improving patients’ quality of life. These medications act on the underlying causes of vesical spasms and reduce their frequency and intensity.

There are several types of medications usually used in the treatment of vesical spasms:

  1. Anticholinergic drugs: These medications act by blocking the action of acetylcholine, a neurotransmitter that intervenes in the trigger for bladder contractions. By inhibiting acetylcholine, anticholinergic drugs help relax the bladder muscles and reduce spasms. Some examples of anticholinergic drugs prescribed are often oxybutinine, tolterodine and solyphenacin.
  2. ALFABLOQUANTES: These medications act relaxing the smooth muscles of the bladder neck and the prostate, which can help relieve symptoms associated with vesical spasms. Alfablequetantes such as tamsulosin and alfuzosina are often prescribed to patients with vesical spasms caused by a prostate enlarging.
  3. Analgesics: In cases where vesical spasms are especially painful, analgesics can be prescribed to relieve them. No n-steroidal ant i-inflammatories (NSAIDs), such as ibuprofen, or opiates can be recommended for the treatment of shor t-term pain, under the supervision of a healthcare professional.

It is important that patients understand that the choice of medication depends on the underlying cause of vesical spasms and their individual health. It is essential to consult a healthcare professional to obtain adequate diagnosis and determine the most appropriate medication.

In addition to these medications, lifestyle modifications and no n-pharmacological treatments can also be recommended as part of a comprehensive treatment plan of vesical spasms. These may include bladder training exercises, diet changes and pelvic soil exercises.

Behavioral Therapies

A behavioral therapy widely used for vesical spasms is bladder reset. This technique is to gradually increase the time between urination to train the bladder to retain more urine and reduce the urgency and frequency of spasms. Bladder resentment usually begins with scheduled urination at regular intervals, for example every hour, and gradually increasing the time between pauses to go to the bathroom as the patient feels more comfortable.

Important note: Behavioral therapies can be especially useful for patients who have not responded well to other treatments or want to avoid medication. However, they often require time, effort and commitment from the patient to achieve optimal results.

Components of Behavioral Therapies

Behavioral therapies for vesical spasms usually cover several key components:

  1. Lifestyle modifications: Make certain changes in lifestyle, such as controlling fluid intake, avoidfrequency and intensity of vesical spasms. Your health professional can guide you about specific modifications that can be beneficial for your condition.
  2. Bladder resentment: As already mentioned, the bladder reset consists of gradually increasing the time between urination to train the bladder to retain more urine and reduce vesical spasms. Patients can also learn techniques to relax pelvic soil muscles, which can help relieve spasms and improve bladder control.
  3. Behavioral techniques: certain behavioral techniques, such as distraction, deep breathing exercises and maintaining a relaxed posture, can be used during vesical spasms episodes to help control pain and discomfort. These techniques intend to divert the patient’s care from the spasms and promote a feeling of relaxation.

Examples of lifestyle modifications for vesical spasms
Modification of lifestyle Description
Liquid management Monitor and control the fluid intake to avoid overloading the bladder and triggers spasms.
Avoid bladder irritants Identify and avoid substances or foods known for irritating bladder, such as caffeine, alcohol and spicy foods.
Weight control Maintaining a healthy weight by regular exercise and a balanced diet, since excess weight can contribute to vesical spasms and other urinary problems.

Physical Therapy: An Essential Component of Rehabilitation

First, physiotherapy emphasizes the importance of therapeutic exercises to improve muscle strength and flexibility. Through specific exercises, patients can regain control of their movements and improve their amplitude of movement. In addition, physiotherapists use manual therapy techniques such as massages, joint mobilization and stretching to reduce pain and increase blood flow to injured areas.

Main advantages of physiotherapy:

  • Favors healing and avoids greater degeneration of muscles and joints
  • Improves balance, coordination and posture
  • Improves overall cardiovascular health and endurance
  • Provides education and guidance on injury prevention and self-management techniques

Additionally, physical therapy is highly individualized, with therapists tailoring treatment plans to meet each patient’s specific needs. Whether recovering from surgery, sports injuries, or neurological disorders, patients can expect personalized care that addresses their unique concerns and goals. Additionally, physical therapists often collaborate with other healthcare professionals to ensure comprehensive and cohesive care.

Examples of physiotherapy techniques:
Technique Description
Therapeutic exercises Customized exercises to improve strength, flexibility and range of motion
Manual therapy Manual techniques including massage, joint mobilization and stretching
electrical stimulation It uses electrical currents to reduce pain, promote muscle contraction and improve healing.
Ultrasound therapy It uses high-frequency sound waves to treat pain, inflammation and tissue stiffness.

Nerve Stimulation in the Treatment of Bladder Spasms

There are several types of nerve stimulation techniques for the treatment of bladder spasms:

  • Sacral nerve stimulation: This technique involves implanting a device near the sacral nerves, which are connected to the bladder. The device sends electrical impulses to the nerves, which helps regulate bladder function and reduce spasms.
  • Tibial nerve stimulation: In this non-invasive method, a small electrode is placed near the ankle and sends electrical impulses to the tibial nerve, which runs from the leg to the spinal cord. The impulses travel up the nerve to the sacral nerves, thus relieving bladder spasms.

Nerve stimulation techniques have shown promising results in relieving bladder spasms and improving patients’ quality of life. These treatments offer a less invasive alternative to surgery and may be a suitable option for people who have not responded well to other forms of treatment. It is important to consult with a health professional to determine the most appropriate nerve stimulation technique for each case.

Advantages of nerve stimulation for bladder spasms

  1. It is minimally invasive: Nerve stimulation techniques usually involve outpatient procedures with minimal recovery time.
  2. Customizable treatment: The intensity and frequency of the electrical impulses can be adjusted to meet the specific needs of each patient.
  3. Less dependence on medication: Nerve stimulation can help reduce the need for medication to control bladder spasms, minimizing potential side effects.

Comparison of sacral nerve stimulation and tibial nerve stimulation
Nerve stimulation technique Implantation Procedure Recovery time
Sacral nerve stimulation Requires surgical implantation of a device Outpatient procedure under anesthesia Usually a few days
Tibial nerve stimulation Non-invasive electrode placement near the ankle Non-surgical procedure, administered in a clinic No recovery time required

Lifestyle Changes for Managing Bladder Spasms

1. Fluid management: Maintaining a balanced fluid intake is important for people who suffer from bladder spasms. It is recommended to drink an adequate amount of water throughout the day, usually between 6 and 8 glasses, to stay hydrated. However, it is important to avoid excessive fluid intake, especially before bedtime, to prevent overactive bladder during sleep. Limiting caffeine and alcohol consumption can also contribute to better bladder control, as these substances can irritate the bladder and worsen spasms.

TIP: Distribute your fluid intake evenly throughout the day and try to hydrate mainly with water. Avoid or limit drinks containing caffeine or alcohol to prevent bladder irritation.

2. A healthy diet: Following a balanced diet can positively influence bladder health and minimize bladder spasms. Adequate fiber intake through fruits, vegetables, and whole grains can help regulate bowel movements and reduce pressure on the bladder. It is also advisable to avoid foods that irritate the bladder, such as spicy foods, artificial sweeteners, and acidic fruits. Maintaining a healthy weight through portion control and regular physical activity can further relieve pressure on the bladder and reduce the occurrence of spasms.

TIP: Incorporate high-fiber foods into your diet, while limiting or avoiding known bladder irritants. Maintain a healthy weight through portion control and regular physical exercise to minimize pressure on the bladder.


Adopting certain changes in lifestyle, people can effectively control vesical spasms and improve their quality of life. The control of liquids, balancing water intake and avoiding bladder irritants such as caffeine and alcohol, can help regulate bladder activity. Follow a healthy diet, rich in fiber and free of bladder irritants, along with maintaining a healthy weight by adequate control of portions and regular exercise, can also contribute to reducing vesical spasms. Consulting a healthcare professional to customize the treatment plan and lifestyle recommendations is essential to effectively control vesical spasms.

Surgical Intervention in the Treatment of Bladder Spasms

Types of surgical interventions:

  1. Increased bladder: the increase in bladder size, also known as cystoplasty, is a surgical procedure that consists of increasing the bladder size. This procedure can help relieve the symptoms of vesical spasms by reducing bladder pressure and increasing its ability to retain urine.
  2. Bladder derivation: Bladder deviation surgery diverts urine flow outside the bladder, which can be beneficial for patients with serious bladder spasms caused by conditions such as interstitial cystitis or bladder cancer. The usual types of bladder derivation surgery include derivation through ileal duct and the continent urinary reservoir.

Note: It is important that patients comment with their health professional the possible risks and benefits of surgical intervention. Not all patients with vesical spasms can be adequate candidates for surgical intervention, so individualized treatment plans should be studied carefully.

Postoperative care and recovery:

  • After the surgical intervention of vesical spasms, patients are usually subject to close hospital follo w-up to guarantee adequate healing and treat any postoperative complication.
  • Patients may need a temporary urinary probe to help empty the bladder while the surgical area is cured.
  • To relieve the inconvenience associated with the intervention, pain control strategies, such as prescribed medication, can be used.
  • The recovery time varies depending on the type and scope of surgical intervention, and patients should follow the instructions of their health professional for postoperative care, including restrictions in physical activities.
Benefits of surgical intervention for vesical spasms Risks and complications
  • Reduction of the frequency and intensity of vesical spasms
  • Improvement of bladder capacity and urinary control
  • Improvement of the quality of life
  • Infection
  • Bladder or urinary tract injury
  • Complications related to anesthesia
  • Cicatization or narrowing of the urethra (in some cases)

Author of the article
Dr.Greenblatt M.
Dr.Greenblatt M.
Medical oncologist at the Robert Larner College of Medicine, MD, at the University of Vermont

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