Overactive Bladder

Overactive bladder is a common condition among men and women of all ages. It is characterized by frequency of urination, urgency of urination, and may result in the inability to maintain bladder control. This condition may be the result of neurologic disease or may not have any underlying cause.

Evaluation
Each patient receives an in-depth evaluation to diagnose overactive bladder and to tailor therapy to his or her individual needs. This includes a detailed history and physical examination, questionnaires, and may include diagnostic tests such as voiding diaries, video urodynamics, and/or cystoscopy. Evaluations are performed by our urologists and highly skilled nurses.

Treatments Offered 
A number of treatments are available for this common and often debilitating condition. Treatment is tailored to each patient according to his or her needs and may include:

  • Behavioral and dietary modifications: simple techniques to improve bladder function including pelvic floor muscle exercises, dietary modifications, alterations in fluid intake, and bladder retraining
  • Medical therapy: the use of certain medications designed to reduce overactivity of the bladder, which can aid in bladder control and decrease urgency of urination and urge incontinence
  • Pelvic floor biofeedback: physical therapy for the muscles of the pelvic floor. The goal of pelvic floor biofeedback is to gain greater control of the muscles. The technique can be used in the treatment of urinary incontinence, overactive bladder, urinary retention, pelvic floor disorders, and pelvic pain disorders.
  • Electrical stimulation: a gentle electrical current is delivered to the muscles of the pelvic floor resulting in temporary contraction of the pelvic floor muscles
  • Bladder instillations: medications that can be instilled directly into the bladder in an office setting to treat chronic pelvic pain and burning.
  • INTERSTIM® sacral neuromodulation: a novel technology whereby a gentle current is delivered to the nerve supplying the bladder and pelvic floor in order to treat overactive bladder, non-obstructive urinary retention, and pelvic pain disorders
  • BOTOX® therapy: a procedure in which an agent that paralyzes muscular activity is injected into the bladder to reduce bladder spasticity. BOTOX® therapy can be used to treat overactive bladder and urge incontinence.
  • Surgical reconstruction
 


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