Overactive Bladder

OAB occurs when the muscles of the bladder contract too often or at the wrong time, even when it’s not full. The result is a sudden, hard-to-control urge to urinate, sometimes leading to leakage before you reach the bathroom.

Common symptoms include:

• A sudden, strong urge to urinate that’s difficult to control
• Frequent urination (8+ times during the day)
• Waking up two or more times at night to urinate
• Leakage associated with urgency
• Anxiety about restroom access or travel

While OAB becomes more common with age, it’s not an inevitable part of getting older. It can be caused by bladder muscle changes, nerve overactivity, hormone changes, or underlying conditions, all of which can be managed with the right plan.

At Urology Alliance, we focus on both relief and restoration, helping your bladder work the way it should, while improving your quality of life.

Our specialists offer a stepwise, personalized approach that may include:

Lifestyle & behavioral therapies

• Bladder training and timed voiding
• Fluid and diet guidance (reducing caffeine, alcohol, and triggers)
• Pelvic floor strengthening and relaxation techniques

Medications
Prescription therapies can calm bladder muscle activity, reduce urgency, and prevent leakage.

Advanced options for persistent symptoms

• Bladder Botox® injections: Calm overactive bladder muscles for long-lasting relief.
• Nerve stimulation (PTNS): Gentle, in-office therapy that restores normal nerve communication to the bladder.
• Sacral neuromodulation (InterStim®): A small implanted device that helps the bladder communicate properly with the brain.

Comprehensive care for women:
OAB often overlaps with menopause, prolapse, or pelvic floor changes and our female pelvic medicine specialists address all aspects of bladder health together, for truly holistic care.

• National expertise, local access – Our network connects leading urologists nationwide so you benefit from the most advanced care available, close to home.
• Compassionate, private environment – We understand these symptoms are personal. You’ll always be treated with respect, dignity, and understanding.
• Evidence-based solutions – Every therapy we offer is backed by proven research and years of clinical experience.
• Collaborative approach – We partner with your primary care or gynecology team to ensure your bladder health fits into your overall wellness.

You don’t have to plan your day around bathrooms, lose sleep to nighttime urgency, or worry about leakage. With today’s treatments, life with Overactive Bladder can be calm, confident, and free.