Female Pelvic Health

Overactive Bladder

Overactive bladder in women


At least 40 percent of American women experience symptoms of overactive bladder. Many more may not report the experiences to their doctor at all.

Overactive bladder consists of a series of symptoms that cause you to need to urinate more frequently.

These symptoms includes:

  • feeling a sudden need to urinate
  • not being able to control urination
  • urinating at least two times every night
  • urinating at least eight times every day

What is the main cause of overactive bladder?

Overactive bladder describes a combination of symptoms that can include a frequent urge to urinate and waking up at night to urinate. Causes can include weak muscles, nerve damage, use of medications, alcohol or caffeine, infection, and being overweight.

What causes a weak bladder in females?

The definition of urinary incontinence in women is the unintentional loss of urine. … Pregnancy, childbirth, and menopause may contribute to urinary incontinence in women. Weak bladder muscles, overactive bladder muscles, and nerve damage may also cause urinary incontinence in women.

Can dehydration cause overactive bladder?

There’s a misconception that urinary incontinence won’t occur if a person with OAB severely limits their fluid intake. In fact, not drinking enough fluids can cause distress on the bladder and worsen OAB symptoms.

InterStim® Therapy

InterStim is an FDA-approved surgical implant device used to treat bladder incontinence and overactive bladder. The device works by sending mild electric pulses to control symptoms such as leaks and urge incontinence. InterStim can be reversed or discontinued at any time during therapy.

Botox for Overactive Bladder

Our Urologists will inject Botox into your bladder to treat urge incontinence or overactive bladder (OAB). This helps the muscles relax, which will give you more time to get to the bathroom when you feel the need to urinate. The injections are done in the clinic, and most patients receive the injections without problems.

Percutaneous Tibial Nerve Stimulation – PTNS

Percutaneous tibial nerve stimulation is a minimally invasive, drug-free option for treating the symptoms of overactive bladder. The goal of this procedure is to modify signals from the sacral nerves (S3) to help stabilize bladder function, and allow patients to regain bladder control. The sacral nerves are connected to the bladder, and extend down the leg to the tibial nerve near the ankle.

The PTNS procedure involves placing a thin, needle electrode into the tibial nerve near the ankle. Over the course of 30 minutes, this electrode delivers mild impulses into the nerve. For optimal results, PTNS is given once a week for 12 consecutive weeks.


Urology San Diego provides comprehensive urological services for men and woman including the treatment of urological cancers, kidney stones, benign prostatic hyperplasia (BPH), overactive bladder, incontinence, bladder prolapse, erectile dysfunction and hypogonadism.

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