Urogynecologists located in Madison, MS & Flowood, MS
Board certified in Urology and Gynecology, the doctors at Southeast Urogyn located in Jackson, Mississippi, offer innovative treatments to their patients who suffer from overactive bladder.
Overactive Bladder Q & A
What Is Overactive Bladder?
Overactive bladder (OAB) is a common condition that is characterized by a sudden and uncontrollable need to urinate, sometimes with leaking of urine or even fully emptying the bladder when you are trying to prevent it. While common, OAB is not normal and is a treatable condition that no one should have to live with. Other symptoms associated with this condition include incontinence, the need to urinate very frequently, and waking up several times a night. Overactive bladder is caused by abnormal nerve activity from the spinal cord to the bladder, making it difficult for your brain to overcome urges. The doctors at Southeast Urogyn offer a variety of treatments to address this condition.
What are Common Treatments?
Initial therapy for OAB involves emptying your bladder on a schedule, or “bladder retraining”. Since OAB is a neurologic condition, that is your brain is not able to overcome what your bladder wants to do, then you have to retrain it, much like when you were 3 years old and your Mom took you to potty every hour until you understood the process. Every treatment for OAB affects the nerves. There are many different medications that may help and there is non-surgical nerve stimulation called Percutaneous Tibial Nerve Stimulation, or PTNS. This is done weekly in the clinic and is non-invasive and painless.
How Does Botox® Treat Overactive Bladder?
BOTOX® is a prescription medicine that is injected into the bladder muscle which provides temporary paralysis for parts of the detrusor or bladder muscle. It is used to treat overactive bladder when other less invasive treatments do not work well enough or cannot be tolerated. This is performed in the clinic also and takes about 10 minutes. The effect can last for 5-15 months and varies from patient to patient, although for most, the lasting effect is around 6-8 months. The injections can be repeated and the main risk is difficulty voiding afterward, with 4-6 % of women needing to self-catheterize for a short time thereafter. Although this is a rare complication and it resolves, we make every woman aware and require that she learn the process for self-cath prior to Botox® injections.
What Is Axonics® Therapy?
Axonics® therapy is used to stimulate the sacral nerves responsible for the overactive bladder reflex. It’s a 2 step process including a testing phase to determine if the treatment will help you and a treatment phase if you are a suitable candidate. During testing, the technician will place a tiny wire near the appropriate nerves and a small stimulator on your body. The wire causes mild pulses that are carried to the sacral nerve. These pulses should be painless and most patients experience a pulling or tingling sensation. You will keep a diary of how often you urinate, any leaking episodes, or if you experience any side effects. If the test shows that the stimulation helps your condition, you will move to step to where a small implant is inserted beneath the skin of your upper buttock where it can provide therapy for at least 15 years.
Southeast Urogyn provides expert care, and wants every patient to be able to afford the checkups they need. If you have any questions about the insurance we accept, please call or office to see how we can best help you.
Words from our patients
"Southeast Urogyn is the BEST facility in Mississippi to go for any of your needs regarding menopause and Urogynecology."
"I met with Dr. Harris for the first time in August of 2015, and was immediately impressed. Please don't hesitate to make an appointment. You'll be glad you did."
"I felt no embarrassment from the initial physician's exam, the urodynamics testing by the nurse or the surgery. I could not have asked for a better doctor and staff."
"Dr. Harris explained everything in detail. He was very patient and kind. I would definitely recommend him to all my friends."
"I received a recommendation from a trusted source, and she was right on. I have and will continue to recommend Dr. Harris to all my female friends."
"Dr. Harris is extremely professional and friendly. He has given my life back to me and I will always recommend him to others."
"Top notch doctor and staff. I was tremendously satisfied with my bladder sling surgery and results. Dr. Harris is compassionate and treats you with dignity."
"I had trouble with incontinence. My internal medicine dr. referred me to Dr. Speights. I had surgery 6 weeks ago and the results are amazing."
"I highly recommend him. He is very personable, confident, and a caring physician. Besides being a great physician, he is a wonderful person."
"Dr. Speights repaired several issues that I had been troubled with for some time. I can now return to my normal daily activities without any problems."
"I felt very comfortable talking with Dr. Speights about the issues that I was having. He explained everything to me and was open for any questions that I might have."
"Dr. Speights was very helpful and kind. He explained my diagnosis and surgery to me and my husband in detail and answered all of our questions."