Advanced Urology in Snellville & Conyers
Snellville Urologywith Advanced Urology Meet our urologists

Snellville & Conyers, GA

Bladder leakage, frequent urination or a gotta-go urge?

Leaks with a sneeze, an urge that won’t wait, or trips to the bathroom that run your day. These are common, and they are treatable. Our team in Snellville and Conyers listens first and builds a plan step by step.

Advanced Urology Conyers Clinic, 1366 Wellbrook Circle, building front
Our Conyers Clinic, 1366 Wellbrook Circle Suite B

What might you notice?

  • A few drops, or more, when you cough, laugh, lift or run
  • A sudden gotta-go feeling, then leaking before you reach the toilet
  • Frequent urination, going so often that you plan outings around bathrooms
  • Waking more than once a night to pee
  • Dribbling, or a bladder that never feels empty
  • Wearing a pad every day just in case

What can cause leaks?

Leaks usually fall into a few patterns, and many people have more than one.

  • Stress leaks happen with pressure on the bladder, from a weak sphincter or pelvic floor, often after childbirth or with age, and in men after prostate treatment
  • Urge leaks come from an overactive bladder muscle or nerves: a strong urge, then leaking
  • Overflow leaks happen when the bladder doesn’t empty and stays full, from nerve or muscle problems or constipation

Frequent trips and waking at night often travel with an overactive bladder. For men, a growing prostate can also play a part.

When should I call?

Call when leaks or urgency change what you do, how you sleep or how you feel about going out. Call sooner if you also have burning, blood in the urine, or trouble emptying, since an infection or another problem may be part of it.

What happens at your visit?

  1. We ask when you leak, how much, what you drink and what you’ve tried.
  2. A urine test checks for infection, and a bladder scan shows how well you empty; imaging of the kidneys and bladder is sometimes added.
  3. We may ask you to keep a short bladder diary at home.
  4. You leave with a first step and a plan to check in on how it’s working.

How can I prepare for the visit?

For two or three days beforehand, jot down when you go, when you leak and what you drink. Bring your medicine list and note what you’ve already tried, such as pads, exercises or cutting back on coffee. If getting up at night is part of it, count how many times. Those notes make the first visit far more useful.

Which treatments do we offer?

We start with the simplest steps and add more if you need them.

  • Fluid and habit changes, such as less coffee, tea and soda, and bladder training
  • Pelvic floor exercises, plus magnetic pelvic floor sessions you sit through in your clothes
  • Medicines for urge leaks
  • Bladder Botox, given through a thin scope, without incisions
  • InterStim, a small implanted nerve stimulator for the bladder
  • Altaviva, a small implant near the ankle that works on the tibial nerve
  • For stress leaks: Bulkamid bulking, a midurethral sling for women, and a male sling or artificial urinary sphincter for men

Your urologist will explain which ones fit your type of leak.

Where can I be seen?

Bladder visits are common at both locations. Call (678) 344-8900 to pick Snellville or Conyers.

Who will I see?

Urologists who help with leaks and urgency here: meet the whole team.

Is there a video on this?

Dr. Dev Mally, who sees patients in Snellville, on the bladder.

Dr. Mally Discusses Overactive Bladder What the video covers: Dr. Mally talks about overactive bladder. Watch on YouTube

What do people ask us?

Why do I have frequent urination?

Going often can come from an overactive bladder, drinking a lot or late in the day, caffeine, an infection, or in men an enlarged prostate. A urine test and a short bladder diary help us sort it out.

Do I just have to accept bladder leakage with age?

No. It is more common with age, but most people improve with treatment. Pelvic floor therapy, bladder training and medicines come first, and Bulkamid, slings, Botox and nerve stimulation are there if needed.

Can men have bladder leakage?

Yes. Men can have urge leaks from an overactive bladder or an enlarged prostate, and stress leaks most often follow prostate surgery or radiation. Pelvic floor exercises, medicines, a male sling or an artificial sphincter are options.

Is peeing at night part of this?

It can be. Waking to urinate often goes with an overactive bladder, and in men an enlarged prostate can cause it too. A two-day bladder diary and a urine test help sort out which it is.

Will I need surgery?

Most people do not. Habits, pelvic floor therapy and medicines come first. Bulkamid injections, slings, bladder Botox and InterStim are options if leaks continue after that.

Do I have to give up coffee?

Not necessarily. Cutting back on coffee, tea and soda, or switching to decaf in the afternoon, often eases urgency. A bladder diary shows how much your drinks affect you.

Can I be seen in Conyers?

Yes. Visits, urine testing and bladder scans can happen at our Conyers clinic on Wellbrook Circle. Procedures such as Bulkamid, a sling or bladder Botox are done at our Snellville surgery center.

Where can I read more?

General education, not medical advice. Each treatment has trade-offs, and your provider will review them with you.

Tired of planning around the bathroom?

Make a visit in Snellville or Conyers and we’ll start with the simplest steps.