Weill Cornell Medicine Urology
Weill Cornell Medicine Urology
Overactive Bladder

Overactive Bladder

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Patrick J. Culligan

Patrick Culligan, MD, FACOG, FACS, graduated from Georgia Tech in 1989 and from the Mercer University School of Medicine in 1993. After completing his residency in Obstetrics and Gynecology with the Greenville Hospital System / University of South Carolina, he went on to a fellowship in Urogynecology and Reconstructive Pelvic Surgery at the Evanston Continence Center, Northwestern University Medical School, where he trained extensively in the surgical and non-surgical management of all pelvic floor disorder such as pelvic organ prolapse, urinary incontinence, and fecal incontinence.

The Iris Cantor Men’s Health Center

Appointments: (646) 962-4811

The Iris Cantor Men's Health Center offers a complete and comprehensive array of healthcare services for men at a single clinical location in New York City. The objective of the Center is to provide an integrated, one-stop medical experience for men's healthcare. This center provides comprehensive care under specialties including Preventative Medicine, Internal Medicine, Endocrinology, Cardiology, Urology, Rehabilitation Medicine, Nutrition, Plastic Surgery, and Clinical Genetics.

Bilal Chughtai

Bilal Chughtai, MD is an Associate Professor of Urology and an Associate Professor of Urology in Obstetrics and Gynecology at Weill Cornell Medicine. He is also an Associate Attending Urologist at NewYork-Presbyterian Hospital. Dr. Chughtai specializes in Voiding Dysfunction, Female Urology, and Neurourology.

Alexis E. Te

Dr. Alexis E. Te is a Professor of Urology at the Weill Medical College at Cornell University, the Director of Urology Program at the Iris Cantor Men's Health Center, the Director of the Brady Prostate Center and Urodynamic Laboratory, as well as Co-Director of Urodynamics and an Attending Urologist in the Department of Urology at New York-Presbyterian Hospital.

Overactive Bladder - Treatment Options

Both non-surgical and surgical treatment options are available for overactive bladder.

Non-surgical treatments:

Kegel exercises:

Kegel exercises are used to strengthen the muscles of the pelvic floor. These exercises can help control stress urinary incontinence, urge urinary incontinence, overactive bladder, and fecal incontinence. In addition, they may be used to help slow the progression of vaginal prolapse. Kegel exercises must be done correctly and regularly in order to work.

Overactive Bladder - Symptoms & Evaluation

The most common symptom of overactive bladder is urinary urgency, which is a sudden and intense desire to urinate. Urinary urgency may occur with or without leakage of urine (wet vs. dry overactive bladder). Urinary urgency may occur in specific situations such as hearing running water, touching running water, or getting close to a bathroom. With wet overactive bladder, a person may be unable to stop leakage before reaching the toilet, and urine loss typically occurs in large amounts.

Overactive Bladder - Risks & Causes

Overactive bladder is caused by involuntary bladder muscle contractions as the bladder fills. This condition is believed to be due to malfunctioning of the bladder nerves. Risk factors for overactive bladder include age, obesity, pelvic surgery, and the presence of neurological conditions such as stroke, Parkinson's disease, multiple sclerosis, and diabetes.

Overactive Bladder

This medical condition affects more than 13 million men and women in the United States, and can be subdivided into "wet" or "dry" overactive bladder. Wet overactive bladder, in which urinary urgency leads to leakage of urine, is also known as urinary incontinence and affects over 9% of women. Dry overactive bladder does not lead to leakage of urine, and affects over 7% of women.


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