Urology Specialists of Ohio

Thank you for choosing the Urology Specialists of Ohio. Your care and well-being are our primary concerns, and we want your stay
to be as comfortable as possible. Please call us if you have any questions at (937) 342-9260

OVER-REACTIVE BLADDER

READ OUR BOOK ON AN OVER-REACTIVE BLADDER BY CLICKING HERE

OVERVIEW

There is a complex interplay between your bladder, nerve signals, and your brain. This coordinated effort lets you know when your bladder is becoming full, as well as when it is time to be emptied. With an overactive bladder (OAB), however, the muscles of the bladder contract involuntarily creating the need to urinate, even though your bladder may not be full. An overactive bladder causes challenges every day, such as loss of urine control and the fear of an accident. This causes patients to isolate themselves from friends and family and may limit the ability to work. Urological Specialists of Ohio in Springfield Ohio, specialize in urogynecology and offers treatment for patients suffering from an overactive bladder.

SYMPTOMS

If you are experiencing any of the following symptoms, you might have an overactive bladder:

  • Frequent urination, usually 8-10 or more times in a 24 hour period
  • Awakening several times at night to urinate, usually 2-3 times or more
  • Urge incontinence (loss of urine that occurs with the urge to urinate)

CAUSES

Several factors, including neurological disorders, diet, and medications can contribute to the symptoms of overactive bladder. OAB can be a symptom of a larger problem, such as bladder stones or urinary tract infections. An overactive bladder is NOT a normal part of aging or childbirth

TREATMENT

Overactive bladder is a treatable condition and it’s possible to stop the constant disruptions and start living life again.

NONSURGICAL OPTIONS

Inner Pages Welcome for Urology Specialists of Ohio Springfield Ohio

Thank you for choosing our group of doctors and staff for your Urology needs. In order for us to better serve you, below is a checklist of things to know and bring to your first appointment. If you do not have the paperwork filled out prior to your appointment, please arrive 15 minutes early to complete in the office. If you do not have the paperwork filled out prior to your appointment time then your appointment will be rescheduled to another date.

Urology Specialists of Ohio has been a committed part of the Springfield community for more that 10 years, and now serves Springfield, Beavercreek, London, Xenia, and Urbana striving to improve the medical community, with excellence in all areas of urology.

Our goals are to provide state of the art medical treatment for patients with genitourinary problems. We provide this in the most compassionate and cost effective way possible. We take pride in providing excellent care with attention to detail and respect in a friendly atmosphere.

Medications

Several prescription medications are available to relieve the symptoms of OAB. Oral medications can be prescribed, and injections of temporary muscle paralyzers, such as BOTOX, into the bladder may also help.

Bladder Training

Bladder training can improve control by setting a schedule for urination. As control of the pelvic muscles improves, the patient can increase the time between bathroom breaks. This is a cognitive process that helps by writing down reminders and a schedule to urinate.

Bladder Diet

Certain foods and drinks can irritate the bladder and cause OAB. Urological Specialists of Ohio will create a diet plan to help identify the patient’s trigger foods.

Kegel Exercises

Specific pelvic floor exercises, known as Kegels, can increase the muscles and improve a patient’s control over their bladder.

SURGICAL OPTIONS

InterStim Therapy

To stimulate the nerves, a small device (similar to a pacemaker) is implanted under the skin of the upper buttocks. This stimulation of nerves offers relief to patients that suffer from bladder issues. This procedure is performed as an outpatient surgery and done with local anesthesia. The majority of patients see improvement with OAB almost immediately after InterStim is placed.

Minimally Invasive Bladder Surgery

Urological Specialists of Ohio can increase bladder capacity or remove a part of the bladder with a technique that avoids making large incisions. The benefits include less discomfort, less bleeding, less risk of infection, and a quicker recovery time. This surgery is usually only recommended for patients with extreme overactive bladder.

BLADDER DIARY?

Keeping track of your bladder for a few days can help Urological Specialists of Ohio diagnosis and treat overactive bladder. Patients should keep track of the type and amount of food and drink they consume. Also, patients should note the time that they go to the bathroom and the amount of urine they eliminate during each trip.

OAB DURING PREGNANCY?

Many women do experience overactive bladder and incontinence during and after pregnancy. It may be the start of a long-term problem or indicate other concerns. Tell the staff or doctors of Urological Specialists of Ohio about any concerns regarding OAB or incontinence.

OAB AND AGING?

The risk and severity of overactive bladder do increase with age, but that does not mean it is natural or untreatable. Urological Specialists of Ohio treat OAB in patients of all ages and can help find a solution for each person.

Urology Specialists of Ohio would like to welcome you to the “Bladder Health” treatment plan.  We understand this process can become very frustrating because it takes multiple steps.  This is a layout of the plan the provider will likely follow.  It has taken our body a long time to develop bladder issues therefore it will take us a little time to get to find the RIGHT SOLUTION FOR YOU!  Please understand that each patient is different and the plan may vary slightly depending on each patient’s circumstances.  If you have any questions during this process please contact our office.  Our staff has been trained on every step and will be able to help answer questions.

1st VISIT- OAB Consultation

  • A detailed history will be taken on this visit.
  • Bladder questionnaires will need to be filled out.
  • Review of medications that you have tried, typically your PCP has already given you one or more medications.
  • Behavior Management will be explained, here are a few examples.
    • Do not drink after 7pm
    • Be aware of fluids that irritate the bladder. (You will find a list in your packet).
    • Kegel exercise.
  • Pelvic Floor Therapy or Biofeedback Therapy will be explained.
    • This is a therapy that helps rehab the pelvic muscles. You will find a brochure in your packet.
    • This therapy is required to be done 4 times. Please note that you may not notice a difference on the first couple sessions. Stick with it!  You may be surprised at how much it helps rehabilitate your pelvic muscles.
  • Medication Management
    • You may be asked to try another medication. Most insurance require the patient to try at least two medications prior to trying more advance techniques.
    • Understand that we like you to report any side effects or problems with the medication as soon as you notice. Call the office and we will document this in your medical record.
  • Voiding Diary
    • You may be asked to fill out a voiding diary. This may seem difficult or silly but it does tell us very useful information.
      • Keep the diary with you at all times. It is important to document EVERY urinary episode.
      • We need 3 days! We may not be able to proceed to the next step without 3 days of a “TRUE” voiding diary.
      • Do the diary about 3-4 days prior to the next visit. This give the physician the most current information.

#2. Visit- Pelvic Floor Therapy

  • You will not see the physician on this visit. Your time will be spent with the procedure tech.
  • This visit will take about 45 mins.

#3. Visit- Pelvic Floor Therapy

  • Again you will not see the physician on this visit. Your time will be spent with the procedure tech.
  • This visit will take about 30 mins.

#4. Visit- Pelvic Floor Therapy

  • Again you will not see the physician on this visit. Your time will be spent with the procedure tech.
  • This visit will take about 30 mins.

#5. Visit- Pelvic Floor Therapy

  • Again you will not see the physician on this visit. Your time will be spent with the procedure tech.
  • This visit will take about 30 mins.

#6. Office Visit- Review Medication, Behavior Modification, and Pelvic Floor Therapy

  • You will see the physician on this visit.
  • He will want to review the voiding diary that you have completed.
  • He will also discuss in detail how you did on the medication.
  • Please be prepared to discuss what behavior modifications you tried and how they worked.
  • The outcome of the pelvic floor therapy will be discussed.
  • After reviewing all these items he will decide if an Urodynamics test is required.
    • Urodynamics tells us “what” is causing the problem. It will also help determine what the next step in your bladder treatment plan.
    • Most insurances require an urodynamics test prior to proceeding to the next step.
    • You have a brochure in your package to explain how urodynamic testing is done.
  • He will also decide if a Cystoscope is required.
    • This is a procedure the physician does in the office to look inside the bladder.
    • He will insert a small camera into the bladder which will allow him to visually look to see what maybe causing the bladder symptoms.
  • Visit 7 and 8 can be interchanged. It really doesn’t matter which one your do first.

#7. Visit- Urodynamics

  • You will not see the physician on this visit. Your time will be spent with the procedure tech.
  • This visit will take about 45 mins.
  • We would like you to arrive with the “urge” to use the bathroom. Do not drink extra water but do refrain from using the bathroom for a couple hours prior to the test.
  • You have a brochure that explains exactly how the test is done in your packet. If you have any further questions please call the office.  This is an important part of the process and we wouldn’t want you to not do the test because of unanswered questions.

#8. Visit- Cystoscope

  • You will see the physician this visit, but you will be brought back by the procedure tech. She will prepare you for the procedure.  She will also be in the room assisting the physician with the procedure.
  • The procedure takes about 10 mins but be prepared to be in the office for about 30 mins.
  • You may be given an antibiotic to take after the procedure. This is just to insure, no infection occurs.

#9. Visit- Determine Final Therapy

  • You will see the physician on this visit.
  • The physician will review everything and determine what procedure will best help with your bladder diagnosis.
  • There are many different types of procedures that maybe suggested from surgery to different procedure done in the office. Because each patient’s body/ bladder is different we cannot pre-determine which one may help you best without going through the WHOLE process.
    • Surgical candidates will have the exact surgery explained to them at this visit.
      • Review Robotic Sacrocopolexy brochure that is in packet.
    • Botox candidates will have the procedure scheduled at this visit.
      • Botox is done in the office.
      • Needs to be repeated every 6 months.
      • Please review brochure that has been placed in your packet.
    • InterStim candidates will have the procedure scheduled at this visit.
      • InterStim is a test we do in the office to determine if the nerves can be fixed.
      • If the in-office test works then the device will be placed in the hospital.
      • Please review brochure that has been placed in your packet.
    • PTNS (URGENT PC) candidates will have the procedure scheduled at this visit.
      • PTNS is a procedure that helps the nerves.
      • It is done in the office.
      • This procedure is done once a week for 6 weeks.
      • Please review brochure that has been placed in your packet.

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Come and visit

We look forward to your visit. be assured that your great health is our focused passion. click below to see our 5 locations.

LOCATIONS

Contact

Phone

(937)  342-9260

Mail

info@usooh.com

Address

Business Location:
1164 E. Home Road
Springfield, Ohio 45503