Cletus Roy Georges, MD offers a closer look at the uncontrollable and urgent need to urinate, commonly known as overactive bladder.
A common bladder problem among patients in the United States and globally, the condition is known as overactive bladder represents an urgent need to urinate which patients cannot control. An experienced urologist based in Florida, Dr. Cletus Georges explains more about the frequently occurring but often highly debilitating health complaint.
“Closely tied to another common condition known as stress urinary incontinence, overactive bladder is unique in that it is a condition tied solely to the bladder itself,” reveals Dr. Georges. Stress urinary incontinence, meanwhile, he goes on to explain, is anatomically distinct from overactive bladder, with the former, instead, affecting the urethra specifically.
Both conditions, however, are highly prevalent, particularly among the more elderly patients, according to the Urology Care Foundation, a 22,000-strong member organization committed to advancing urology research and education, headquartered in the community of Linthicum in Anne Arundel County, Maryland.
“Patients who suffer from both overactive bladder and with stress urinary incontinence,” explains Dr. Georges, “are said to suffer from what’s known as ‘mixed incontinence.'”
Male patients, he says, are more likely to suffer from overactive bladder than stress urinary incontinence. “Where stress urinary incontinence presents in male patients,” Dr. Georges explains, “it’s often due to damage or injury to the pelvic nerve or a side effect of prostate cancer surgery.”
“Overactive bladder, however,” he continues, “can present as a problem in anyone, and although it’s more prevalent in female patients and the elderly, it’s not necessarily tied to a secondary condition or surgery, as is often the case in other, similar conditions, particularly among male patients.”
Risk factors for overactive bladder include aging and diabetes—in all patients—plus an enlarged prostate in male patients, according to Dr. Georges.
“Affected patients typically experience the desperate need to urinate urgently, which may be difficult to control, and which may lead to the involuntary release of urine, something which can prove to be embarrassing, and may limit activities,” explains the expert.
Common ways to help address the problem, he says, include behavioral modification and pelvic floor muscle exercises. “These and further treatment options are widely demonstrated to reduce or eliminate symptoms in many patients,” Dr. Georges adds.
“Other treatment options for overactive bladder,” he notes, wrapping up, “currently include InterStim therapy, Botox, pharmacological intervention, and percutaneous tibial nerve stimulation.”
Cletus Roy Georges, MD attended Weill Cornell University Medical College in New York City, graduating in 1991 and completing his residency in urology at Chicago’s Northwestern University McGaw Medical Center in 1997. Shortly after that, urology specialist Dr. Cletus Georges began his practice in Sebring, Florida, before relocating to the Orlando area where he remains settled today.