Advances in Overactive Bladder Management: From Pelvic Therapy to Pacemakers

This episode explains how clinicians distinguish overactive bladder from other lower urinary tract disorders and why an accurate history matters for diagnosis and treatment. Dr. Alex Gomelsky, MD, clinical urologist with UF Health and professor at the University of Florida College of Medicine, walks through the defining symptoms of urgency, urinary frequency, and urge leakage and how these differ from stress incontinence or pelvic organ prolapse. Learn practical tips for history-taking, the role of pelvic floor physical therapy, and when to consider bladder medications versus procedural options such as Botox for bladder or sacral neuromodulation. Visit ufhealth.org/urogynecology to learn more and access resources for patients and clinicians. 

Learn more about Dr. Alex Gomelsky MD, FACS