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Center for Robotics, Laparoscopy, and Advanced Urology
A Division of WESTMED Medical Group

Overactive Bladder


OAB is very common. It affects 1 in 6 men and women in the US. Many people think that as you age it’s normal to get a bladder control problem. Maybe your mother, father or grandparents had it. But the fact is, your bladder control problem may be a medical condition called overactive bladder (OAB).

OAB is not a normal part of aging. People can get symptoms in their early 30s or 40s. But, the good news is that the symptoms of OAB can often be treated. Common treatments prescribed include:

  • behavior modification, such as monitoring your fluid intake
  • pelvic muscle strengthening
  • drug therapy
  • neurostimulation, stimulating nerves that control your bladder

Our practice has been designated as a center of excellence with the most experience in the tri-state (NY, NJ, CT) area in performing tibial nerve stimulation (neuromodulation) for patients with overactive bladder, urinary urgency, or urinary frequency. Dr. Boczko and Dr. Blair are pioneers in this cutting-edge technology. Tibial nerve stimulation is a cutting edge, simple, effective, office-based treatment for those with an overactive bladder.

Office-Based Neuromodulation

Urgent PC Neuromodulation SystemOutpatient neuromodulation with the Urgent PC Neuromodulation System uses the tibial nerve to target the nerves in the spinal cord that control pelvic floor function, thereby affecting a patient’s symptoms.

Neuromodulation using Urgent PC:

  • Delivered through a small needle in your ankle
  • Targets the nerves that control bladder function
  • Up to 80% of patients respond to the therapy
  • Reduces the number of bathroom visits during the day and at night; and in the number of incontinence episodes
Neuromodulation using Urgent PC
How a Healthy Bladder Works

Each time you eat and drink, your body absorbs liquids. The kidneys filter out waste and make urine. The urine is stored in your bladder. Nerves tell the brain when the bladder is full. That's when you get the feeling that you need to go to the bathroom.

Normal Bladder A normal bladder muscle sends a strong signal when it’s full
The normal bladder muscle expands like a balloon to hold a cup or two of urine. As it fills, it sends stronger and stronger signals that it’s time to go. When you feel ready, you walk to the bathroom. Then you give your bladder the OK to go.

Normal BladderAn overactive bladder muscle sends "false alarms" before it's full
The overactive bladder muscle doesn’t wait until it’s full to send an urgent signal. It can sound emergency "false alarms" again and again. That can cause those strong, sudden urges to urinate. And may even lead to an accident.

What happens with overactive bladder?
With OAB, the bladder muscle squeezes too often. Or when you don’t want it to. This can cause you to have frequent, strong urges to go. Or even to have wetting accidents. If left untreated, these symptoms and the worry they cause may affect many parts of your life. OAB may affect things like:

  • Your sleep
  • Your social life
  • Your career
  • Your health and well-being
  • Your feelings about yourself
  • Your relationship with family, friends, and coworkers

Click on this quiz to see if you might have an overactive bladder

Dr. Boczko was interviewed regarding his expertise with overactive bladder, in particular, tibial nerve stimulation:

Center for Robotics, Laparoscopy, and Advanced Urology
WESTMED Medical Group
210 Westchester Avenue
Department of Urology
White Plains, NY 10604
Tel: 914.682.6470
Fax: 914.681.5264

1 Theall Road
Rye, NY 10580
Tel: 914.682.6470
Fax: 914.681.5264

171 Hugenot Street
Department of Urology
New Rochelle, NY 10801
Tel: 914.682.6470
Fax: 914.681.5264

73 Market Street-Ridge Hill
Yonkers, NY 10710
Tel: 914.682.6470
Fax: 914.681.5264

3030 Westchester Avenue
Purchase, NY 10577
Tel: 914.682.6470
Fax: 914.681.5264

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