Which term denotes a bladder condition with detrusor overactivity causing urgency and possible leakage?

• A. Oliguria
• B. Urinary Hesitancy
• C. Urinary Retention
• D. Overactive Bladder

Answer: (D)

The main idea here is a bladder storage problem caused by the detrusor muscle contracting involuntarily during filling, which produces a sudden urge to urinate and can lead to leakage. The term that best labels this pattern is Overactive Bladder, a condition defined by urgency with or without urge incontinence, and often accompanied by frequency and nocturia. This reflects the underlying detrusor overactivity driving those urgent sensations and potential leakage.

Oliguria refers to very low urine production, not urgent bladder sensations. Urinary hesitancy means difficulty starting urination, usually from obstruction or neuro issues rather than detrusor overactivity. Urinary retention is the inability to empty the bladder. These describe problems with voiding or output, not the storage-driven urgency and possible leakage characteristic of Overactive Bladder.