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Dr. Nabeel Hamoui, MD
Kidney & Bladder

Overactive Bladder

Overactive bladder (OAB) is characterized by a sudden, difficult-to-defer urge to urinate, often with frequency and nighttime voiding. It significantly impacts quality of life but responds well to a range of behavioral and medical treatments.

Symptoms

  • Sudden, urgent need to urinate
  • Urinating more than 8 times per day
  • Waking at night to urinate (nocturia)
  • Leaking urine before reaching the bathroom
  • Bladder discomfort or pressure

Causes & Risk Factors

  • Bladder irritants (caffeine, alcohol, acidic foods)
  • Neurological conditions (stroke, MS, Parkinson's)
  • Bladder outlet obstruction
  • Pelvic floor dysfunction or idiopathic cause

Treatment Options We Offer

  • Bladder training and fluid/diet modification
  • Anticholinergic medications or beta-3 agonists (mirabegron)
  • Pelvic floor physical therapy
  • Botox bladder injections
  • Sacral neuromodulation (InterStim)