Overactive bladder treatment · Alpharetta and Roswell
Overactive bladder treatment, from the “gotta go” feeling to the procedures we offer.
A sudden need to go, leaks on the way to the bathroom, frequent urination, or getting up at night can wear you down. Our urologists at the Alpharetta / Roswell office evaluate that pattern and discuss overactive bladder treatment that Advanced Urology actually offers.
When should I see a doctor for overactive bladder?
Book a visit if the “gotta go” feeling, leaks, frequent urination or night trips are affecting your day or sleep. You do not have to wait until pads are a daily habit. Sudden inability to urinate, fever with urinary symptoms or heavy bleeding belongs in an emergency room; for a routine visit, call 678-344-8900 or book online.
What happens at the evaluation?
The visit starts with your story: what happens, how often, your fluids and medicines. A urine test looks for infection or blood, and a bladder scan in this building often shows how well the bladder empties. Sometimes a short diary or further bladder testing is added before treatment is chosen; this page is educational and is not a diagnosis.
What overactive bladder treatments does Advanced Urology offer?
Plans often start with bladder habits, pelvic floor therapy and medicines. If pills are not a fit, or they cause effects you would rather not live with, our urologists may discuss bladder Botox, the Altaviva tibial implant, or InterStim sacral nerve stimulation. We do not offer needle PTNS; Altaviva is the implantable tibial-nerve option available through Advanced Urology, and every procedure has risks that are reviewed first.
What is bladder Botox like?
Bladder Botox is a procedure in which medicine is placed into the bladder wall through a scope, usually as an outpatient visit. Our urologists explain how the day is planned, what you may notice afterward, and how long the effect may last before a repeat treatment is considered. Fever, inability to urinate or heavy bleeding after the procedure should go to an emergency room.
What are InterStim and Altaviva?
InterStim is sacral nerve stimulation: a small device that acts on the nerves involved in bladder control, placed in a planned procedure with follow-up at this office. Altaviva is an implant near the ankle that stimulates the tibial nerve and then works in the background. Our urologists will say which of those, if either, fits the pattern you describe, rather than starting there before habits and medicines have been considered. InterStim is also used for bowel control in people with chronic fecal incontinence; see InterStim for bowel control and bowel leakage.
Do men get overactive bladder treatment too?
Yes. Men can have urgency, frequent urination and night trips from an overactive bladder, sometimes alongside an enlarged prostate. The evaluation looks at both, and if a weak urine stream is a large part of the story, weak urine stream and enlarged prostate treatment are useful next pages. Women with leakage can also start with bladder leakage and women’s bladder and pelvic health.
How to prepare for an overactive bladder visit
A few days of notes on what you drink and when you go, including night trips, makes the first conversation more useful. Bring your medicine list, photo ID and insurance card, and come with a comfortably full bladder if you can, because a urine sample is often part of the visit. What to bring covers 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
Official Advanced Urology videos on overactive bladder and a patient’s Altaviva story:
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.