Overactive Bladder and Incontinence
Fewer urgent trips. Fewer accidents. More freedom.
For: Anyone with urgency, frequency, or leaks that affect daily life.
Overview
Understanding Overactive Bladder and Incontinence
Overactive bladder is a symptom syndrome of urinary urgency, usually with frequency and night-time voiding, with or without urgency incontinence. It is common, under-reported, and highly treatable. When medication alone has not worked, there are several effective next steps.
Symptoms
Signs worth an evaluation
- Sudden strong urges to urinate that are hard to defer
- Urinating more than eight times a day, or waking repeatedly at night
- Leakage on the way to the bathroom
- Leakage with cough, laugh, lifting, or exercise
- Planning your day and travel around bathroom access
Causes
Causes and risk factors
- Age-related changes in bladder muscle and nerve signalling
- Neurologic conditions such as stroke, Parkinson disease, and multiple sclerosis
- Bladder outlet obstruction from an enlarged prostate
- Pelvic floor weakness after childbirth or pelvic surgery
- Caffeine, alcohol, diuretics, urinary infection, and constipation
Diagnosis
How we evaluate it
- 1A three-day bladder diary and symptom review
- 2Urinalysis to exclude infection, blood, or glucose
- 3Uroflowmetry and post-void residual measurement
- 4Pelvic or prostate examination as appropriate
- 5Urodynamic testing and cystoscopy in complex or refractory cases
Testing is chosen for your situation. Not every patient needs every step listed here.
Treatment
Treatment options we offer
Behavioral and pelvic floor therapy
Bladder retraining, timed voiding, fluid strategy, and pelvic floor muscle training. Highly effective first-line care.
Medications
Antimuscarinics and beta-3 agonists, matched to your other conditions and side effect tolerance.
Botox® bladder therapy
In-office injection that quiets an overactive bladder muscle for several months when medication is not enough.
Urgent PC® neuromodulation
Gentle in-office posterior tibial nerve stimulation for urgency and frequency, with no implant required.
Sacral neuromodulation
An implanted device for carefully selected patients with refractory symptoms.
Why choose PSUMG
Specialist care for overactive bladder and incontinence, close to home.
Third-line therapies including Botox and Urgent PC are available in the office
Objective testing with diaries, uroflow, and residual volume before escalating treatment
Care for all adults, with the same discretion for every patient
You do not have to accept leaks or plan your day around a bathroom. Most patients see meaningful improvement.
Related
Learn More
For additional patient education, explore these trusted resources.
Medical Disclaimer. This information is provided for general educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Please consult your healthcare provider regarding your individual medical needs.