Overactive Bladder
I can't hold my pee anymore: why?
The short answer
Sudden urges you can't control are often overactive bladder.
Infections, nerve problems, and prostate issues can cause it too.
When to come in
Get checked if it's causing leaks.
Asking about PTNS?
Needle PTNS sessions aren’t something we provide. For overactive bladder, our urologists offer tibial neuromodulation with Altaviva Therapy by Medtronic, a small device implanted under the skin near the ankle.
Talking it over with us
We’d be glad to talk this through with you at our Snellville Clinic & Surgery Center, 1557 Janmar Rd, Snellville, GA 30078, or our Conyers Clinic, 1366 Wellbrook Circle Suite B, Conyers, GA 30012. You can ask for a particular urologist by name, or let our scheduling team find the first opening.
How our urologists approach this
Losing control of your bladder is common, but it isn’t something you just have to live with. Our urologists first sort out which kind of leakage you have. Stress leaks happen with coughing, laughing or lifting, while urge leaks come with a sudden strong need to go. Many people have some of each. From there we match care to the cause, starting with pelvic floor exercises, bladder training and medicine, then moving on to options Advanced Urology offers such as Bulkamid, a sling, Botox, InterStim or Altaviva when they make sense.
What to expect when you see us
At your first visit we’ll talk about when leaks happen, how often, and how much they affect your day. A bladder diary kept for a few days is very helpful. We may check your urine for infection and do a gentle exam, and some people need a bladder test called urodynamics.
Getting ready
Bring a short leak record.
When to call us
Call us if leaks are keeping you home, if you’re getting repeated bladder infections, or if you notice burning or blood in the urine.
Watch a short video
Dr. Vik Sabarwal, who sees patients at our Snellville clinic, explains overactive bladder and its treatments.
Keep reading
This is general education, not a diagnosis. All articles