How do you counsel patients on lifestyle measures (bladder training, kegels, fluid intake limits, and avoiding triggers foods/drinks) to treat urge incontinence before reaching for medications?

Behavioral modifications are always the first-line recommendation for overactive bladder, supported by the AUA algorithm.

We know certain bladder irritants make OAB worse — coffee, tea, soda, alcohol, carbonated beverages. Asking about what fluids patients drink on an average day and how much volume...

Great question! A large percentage of nocturnal urge incontinence has an element of late night fluids, and there generally are improvements with counseling on stopping fluids 1hr prior to bed. In addition, for both men and women, I do generally recommend pelvic floor PT for urge incontinence, and us...

Sure, I usually ask patients to avoid or limit alcohol, spicy foods, caffeine, and citrus fruits. I instruct them to do Kegel exercises, holding for 10 seconds, 80 times per day. I will also instruct them to sit on the toilet and try to urinate every 1-2 hours, whether or not they have an urge to ur...