Articles · Bladder and leaks
What do our urologists do for overactive bladder?
Our urologists start with a urine test, a bladder scan, and sometimes a diary or bladder testing, then build a plan around your goals. Options include bladder habits, pelvic floor therapy and medicines; if pills are not a fit, bladder Botox, the Altaviva tibial nerve implant or InterStim sacral nerve stimulation may be discussed. Get checked if urgency, frequent trips or leaks are affecting your day or sleep at home in Alpharetta, Roswell, Milton, Crabapple or Mountain Park.
How do our urologists start an overactive bladder visit?
The first visit usually starts with a urine test and a bladder scan in our Alpharetta / Roswell building, and sometimes a short bladder diary. Our urologists use those findings, plus your history, to name the pattern and the next step. Bring a list of bladder medicines you have already tried.
What treatment options may come next?
Options include bladder habits, pelvic floor therapy, and medicines. Advanced options, like bladder Botox, the Altaviva tibial nerve implant, or InterStim sacral nerve stimulation, can help if pills don't work, cause side effects, or you'd rather not take them.
When should I get checked for urgency or leaks?
You do not have to live with urgency, frequent trips or leaks that interrupt your day or sleep; those are a reason to book a visit. The first appointment at 11660 Alpharetta Hwy Ste 700 usually includes your history and a urine test, and often a bladder scan in this building. Sudden inability to urinate, fever with urinary symptoms or heavy bleeding belongs in an emergency room.
Request an appointment at Advanced Urology.
Questions to bring to your visit
- Which tests do I need first, and why?
- If bladder medicine has not been enough, which next step fits me?
What happens at your visit with us?
Bring a list of bladder medicines you have already tried and a simple log of how often you get up at night or leave the room during the day. Urine testing and a bladder scan are done in our Alpharetta / Roswell building, so the first visit can often start the workup in the same building.
When should I call us?
Call us if urgency, frequent trips or leaks are affecting your day or sleep, or if pills have caused side effects you would rather not live with. Sudden inability to urinate, fever with urinary symptoms, or heavy bleeding belongs in an emergency room instead.
How do our urologists approach this?
Our urologists start by finding out what is going on, then build a plan around your goals. Bladder habits, pelvic floor therapy and medicines come first for many people; bladder Botox, Altaviva or InterStim are discussed when pills are not a fit.
Our urologists, physician assistants and nurse practitioners see adults from Alpharetta, Roswell, Milton, Crabapple and Mountain Park at our Alpharetta / Roswell office.
Related video
Two official Advanced Urology videos on overactive bladder:
Related reading from our team
Related care: overactive bladder care at our Alpharetta / Roswell office.
Read more from Advanced Urology: Overactive bladder · Overactive bladder
For education, not medical advice. Every treatment has risks and benefits. Emergency? Call 911 or go to an emergency room.
Whenever you’re ready, our Alpharetta / Roswell team would be glad to hear from you.