Bladder leakage · Alpharetta / Roswell office
Bladder leakage, frequent urination, and getting up at night, explained in plain words.
A leak when you laugh, a sudden need to go, frequent urination during the day, or broken sleep from bathroom visits: these are everyday reasons people walk into our office, and each one has a workable plan. Our urologists see women and men for bladder leakage at the Alpharetta / Roswell office.
What is bladder leakage from coughing or lifting?
Urine escapes when pressure in the belly jumps: a cough, a laugh, lifting, or a run. The muscle that closes off the bladder is not holding firmly enough in that moment. This form of bladder leakage is common, it is not something you have to hide, and there are treatments designed for it, from pelvic floor therapy to procedures our urologists can discuss when they fit.
What is bladder leakage with a sudden need to go?
A strong, sudden need to urinate arrives with little warning, and sometimes you do not make it in time. Running water or arriving at your front door may set it off. That pattern is often called urge leakage, or overactive bladder, and it is a different problem from leakage with a cough or lift, which is why the first job is to name the type; many people have a mix of both.
How is frequent urination related to bladder leakage?
Going far more often than you used to, or waking more than once a night to urinate, can wear you down even when you are not leaking. Frequent urination during the day and waking at night can travel with an overactive bladder, with an enlarged prostate in men, with fluids and caffeine, or with other medical conditions. A short log of what you drink and when you go makes that first conversation more useful. For a closer look at daytime frequency and waking at night as their own pattern, see frequent urination.
How do our urologists sort out the cause of bladder leakage?
We start with your story: what happens, how often, your fluids, medicines and conditions such as diabetes that can affect the bladder. An exam follows, including a prostate exam for men when a prostate cause is possible, and a urine test looks for infection, blood or other findings that can mimic bladder symptoms. Some of that testing can be started in this building; this page is educational and is not a diagnosis.
What treatments does Advanced Urology offer for bladder leakage?
Early steps come first, including habits, pelvic floor therapy when it fits, and medicines. If those do not bring enough relief for an overactive bladder, Advanced Urology offers bladder Botox, sacral nerve stimulation (InterStim) and the Altaviva tibial implant. For stress-related bladder leakage, options can include pelvic floor therapy and a sling. We do not offer needle PTNS; Altaviva is the implantable tibial-nerve option available through Advanced Urology, and every procedure carries risks that our urologists review first.
Where to read more about bladder leakage treatment
Read more from Advanced Urology on urinary incontinence and overactive bladder. Treatment-focused pages on overactive bladder care and urology care for women go further on those plans. For stool leakage or a loss of bowel control, see bowel leakage and InterStim for bowel control.
Do men have bladder leakage too?
Yes. Men come in with bladder leakage after prostate treatment, with urgency from an overactive bladder, and with overflow when the prostate or another blockage keeps the bladder from emptying. The same idea applies: name the type, then match the plan. If a weak urine stream or trouble urinating at night seems tied to the prostate, weak urine stream and getting up at night is a good next page to read.
What should I bring if I have bladder leakage?
Have identification, insurance information, your medicine names, and a few days of bladder notes if you can. What to bring and your first visit have the rest of the checklist. We do not list self-pay prices on this site.
Our team at the Alpharetta / Roswell office
Dr. Rut Patel, MD, Director of Robotic Surgery
Physician assistant Anna McMaster, PA-C
Physician assistant Alysha Naran, PA-C
Physician assistant Austin Durden, PA-C
Physician assistant Payton Eason, PA-C
Family nurse practitioner Zohra Sayani, FNP
Our urologists — Dr. Herman Bagga, Dr. Rut Patel, Advanced Urology’s Director of Robotic Surgery, and Dr. Kushan Radadia — see adults from Alpharetta, Roswell, Milton, Crabapple and Mountain Park at 11660 Alpharetta Hwy Ste 700, Roswell, GA 30076. Physician assistants Anna McMaster, Alysha Naran, Austin Durden and Payton Eason, and family nurse practitioner Zohra Sayani, work beside them. Meet the full team.
Communities we see at this office
You are seen at our Alpharetta / Roswell Clinic & Surgery Center, whether you are coming from Roswell, Milton, Crabapple or Mountain Park, or from Alpharetta itself. Our office page has the address, parking and how the clinic and surgery center share this building. All areas we serve.
Related video
Dr. Herman Bagga, who sees patients at this office, discusses options for urinary stress incontinence:
Roswell, GA 30076
678-344-8900
This office on advancedurology.com
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.