Urge Incontinence

Urge Incontinence: Overactive Bladder (OAB)
This is the sudden loss of urine for no apparent reason, frequently preceded by a very strong urge to urinate and inability to make it to the bathroom on time. This is usually due to inappropriate and uncontrollable bladder contraction. This condition is commonly referred to as overactive bladder (OAB).OAB frequently results with aging, as bladder muscles weaken, and sometimes as a result of bladder infection, inflammation, stones, cancer or obstruction of the bladder or urethra by an enlarged prostate in men, extensive pelvic surgery or previous radiation.Some medical conditions, such as hyperthyroidism and uncontrolled diabetes, can also lead to or worsen urge. OAB can also result from problems with the nervous system as Multiple sclerosis, Parkinson’s disease, Alzheimer’s disease, stroke, and spinal cord injury. This condition is commonly referred to hyper reflexive bladder 

Patient frequently experiences sudden loss of urine after drinking a small amount of water, or by touching water or hearing it running (as when washing dishes or hearing someone else taking a shower) walking by a lake or swimming pool or during sleep. Certain fluids and medications such as caffeine, alcohol, diuretics or emotional states such as anxiety can worsen this condition.


To make a diagnosis of OAB, you will be asked to make a voiding diary for 2 non-consecutive days, including the type and the amount of fluids you consume in 24 hours and how often you urinate in 24 hours. You will be provided the forms and a special container to record the volumes. In addition, you will have a VideoUordynamic evaluation of your bladder, sphincter and the pelvic floor.


Options for Urge Incontinence and voiding dysfunction

Behavior modification and biofeedback

Sacral Neuromodulation

Tibial nerve stimulation = Urgent PC

Botox injection