Overactive bladder
Urgency, frequency and urge leakage in men and women: behavioral therapy, medication, then advanced office-based therapies.
Medically reviewed by Guillaume Farah, MD · Last reviewed October 2026
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Step 1 of 5
Your first visit
Week 1A urine test and a bladder diary rule out infection and show your pattern.
What you do
Keep a three-day voiding diary: write down what you drink, each time you pee and how much, and any urgency or leaks.
Book a visitWhat Dr. Farah does
Explains what's driving your symptoms.
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Step 2 of 5
Bladder habits
WeeksCutting back on caffeine, timed bathroom trips and pelvic floor exercises help many people.
What you do
Stick with it for a few weeks.
Book a visitWhat Dr. Farah does
Gives you a simple plan.
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Step 3 of 5
Medicine
Weeks to monthsDaily pills calm the bladder muscle.
What you do
Report side effects like a dry mouth.
Book a visitWhat Dr. Farah does
Finds the medicine that suits you.
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Step 4 of 5
If pills aren't enough
When you're readyA quick in-office treatment that relaxes the bladder lasts several months, or a small device that calms bladder nerves works long term.
What you do
Most treatments take minutes.
Book a visitWhat Dr. Farah does
Explains which suits you.
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Step 5 of 5
The data
Overactive bladder (OAB) per AUA/SUFU guideline: behavioral therapy, antimuscarinics or beta-3 agonists, then intradetrusor onabotulinumtoxinA, percutaneous tibial nerve stimulation (PTNS) or sacral neuromodulation (SNM).
Each study link opens the newest results on PubMed.
- OnabotulinumtoxinA vs sacral neuromodulation (opens in new tab) Refractory urgency incontinence
Seen within 24 to 48 hours.
Offices in North Charleston, Summerville and Nexton. Second opinions are welcome.
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