Leaking, or always planning around the restroom?
Our Oakwood Clinic at 4239 Mundy Mill Rd Suite D&E is opening soon. Meanwhile, our Braselton clinicians are ready to see you, with procedures handled at our Lawrenceville Clinic & Surgery Center.
Bladder leakage and overactive bladder (OAB) are common reasons women and men see our urologists. Getting older doesn't make them inevitable, and most people have several treatment paths to choose from.
Which kind of leak is it?
- Urge leakage arrives right behind an urge you can't hold off, usually because the bladder muscle squeezes before you're ready.
- Stress leakage happens with coughing, laughing, running or lifting, from a weak sphincter.
- Overflow leakage comes from a bladder that doesn't empty and keeps spilling over.
How do we find the cause?
Expect questions about fluids, habits and medicines, a physical exam and a urine test. You may keep a short diary of what you drink and when you go, and a quick ultrasound can show how much stays behind after you empty. When the picture still isn't clear, pressure-flow studies or cystoscopy fill in the gaps.
What can help?
- Bladder training, pelvic floor exercises and cutting back on caffeine and alcohol.
- Medicines that calm the bladder.
- Bladder Botox injections for urgency.
- Sacral nerve stimulation: a small implant that steadies the nerve signals running to the bladder. Our team provides nerve stimulation at that office.
- Sling procedures for stress leakage in women and men, and an artificial urinary sphincter for some men.
If a symptom is sudden, severe or comes with fever, use the emergency room rather than waiting for an appointment.
Ready to see one of our urologists? Call us to book a visit in Lawrenceville or Braselton.
Call (678) 344-8900Asking about PTNS?
Typed PTNS into a search bar and landed here? Weekly needle PTNS visits are not part of what Advanced Urology does. For tibial nerve therapy, our urologists use Altaviva, a small implanted stimulator.
Who will you see?
Dr. Mukesh Patel, Dr. Vik Sabarwal, Dr. Michael F. Nordsiek and Dr. Hemant Chaparala see bladder patients at Crown Pointe Way, and Dr. Nicholas Farber in Braselton, along with our physician assistants.
What do people ask about overactive bladder?
Should I just accept urgency at my age?
Not at all. Crown Pointe Way sees plenty of patients in their seventies and eighties whose urgency eased with treatment.
Do men get OAB?
Yes. In men it can overlap with an enlarged prostate, so we look at both.
What else do patients ask?
What happens after I book online?
Our Gwinnett scheduling team confirms the time, notes your main concern and lets you know what paperwork, medication list and insurance card to have ready.
What else do patients ask about this?
How long before medicines work?
Many people notice a change within weeks; our team checks in to adjust the plan.
Is OAB just something to live with after 60?
No. Plenty of Dacula grandparents have it, and it responds to treatment.
Can overactive bladder affect Norcross men as well?
Yes; for Norcross men it often shares the stage with BPH.
Is cystoscopy done in the office?
Often, yes, at Crown Pointe Way.
Where can a south Hall bladder evaluation begin?
In Braselton for now; our Mundy Mill Road clinic in Oakwood is opening soon.
Is leakage normal after having babies or as I age?
Plenty of people have it, and you do not need to put up with it.
Is waking at night always the prostate?
Not for every Oconee County man; late-evening drinks, sleep apnea and certain pills can also be behind it.
What counts as an emergency?
Being unable to pass urine, or fever with pain, means heading to an emergency room right away.
Which videos can help?
- Watch: Overactive Bladder (OAB): Symptoms & Treatment Options | Dr. Vik Sabarwal
- Watch: Dr. Nicholas Farber explains Overactive Bladder
- Watch: No need to suffer from constantly going to the bathroom. Learn about treatments and options
These open on Advanced Urology's YouTube channel.
Ready to talk with our urologists? We're here for you.