Bladder control, without the guesswork.

Which kind of leakage is it?

Stress leakage

Urine escapes when pressure in the belly jumps: a cough, a laugh, lifting a grandchild, a run. The muscle that closes off the bladder isn’t holding firmly enough.

Urge leakage and overactive bladder

A strong, sudden need to go arrives with little warning, sometimes set off by running water or the sight of your front door, and sometimes you don’t make it in time. Frequent trips day and night are part of the same picture.

Overflow leakage

The bladder doesn’t empty well, stays too full, and dribbles. Weak bladder muscle, nerve signals that don’t get through, or constipation may be behind it.

Many people have a mix. Sorting that out is the point of the first visit.

How we find the pattern.

• Your story: what happens, how often, your fluids and habits, your medicines, and conditions like diabetes or neurologic illness that affect the bladder.
• An exam: abdominal and pelvic, and for men, a prostate exam to look for a prostate cause.
• A bladder diary: a few days of jotting down what you drink, when you go, and any urges or leaks.
• A urine test: to look for infection, blood or other findings that can mimic bladder symptoms.

Treatment starts simple and steps up if needed.

Your plan depends on the type of leakage and on what you want from treatment. Early steps come first. If those don’t bring enough relief, your clinician may bring up nerve stimulation as a further option.

For stress leakage, Advanced Urology offers sling procedures for women and for men, and an artificial urinary sphincter is another option for men. Every procedure carries risks, which one of our urologists goes over with you first.

Read Advanced Urology’s pages on urinary incontinence and overactive bladder.

Men leak too.

In men, urgency and frequent trips can come from the prostate or from the bladder itself, which is why the exam includes the prostate. The same step-by-step evaluation applies, and there are treatment options designed for men.

Bring a few days of notes.

If you can, keep a simple diary before your visit: drinks, bathroom trips, urges and leaks. It makes the first conversation faster and more useful.