Condition
Overactive bladder
Overactive bladder is a common, treatable condition that significantly affects quality of life. A structured, stepwise approach usually restores confident bladder control.
Overview
What is this condition?
Overactive bladder is a symptom syndrome of urinary urgency, usually with frequency and nocturia — with or without leakage.
It affects both men and women and is not simply 'part of getting older'. A range of treatments — from behavioural to advanced — can help.
Common symptoms
Symptoms to be aware of
Symptoms vary from person to person. Specialist assessment helps determine the underlying cause.
Sudden urgent need to pass urine
Frequency more than 8 times a day
Waking at night to urinate
Urge leakage
Always locating the nearest toilet
Impact on sleep, work and social life
Possible causes
What can cause it
Bladder-brain signalling
The bladder contracts inappropriately during filling.
Urinary infection
Should always be excluded first.
Bladder irritants
Caffeine, alcohol, artificial sweeteners can worsen symptoms.
Neurological conditions
MS, Parkinson's and stroke can affect bladder function.
Postmenopausal changes
Hormonal changes may contribute in women.
Many causes are benign and highly treatable. A structured consultant-led assessment is the fastest way to reach a clear diagnosis and a personalised plan.
When to seek medical advice
Some symptoms should always prompt prompt specialist review. Please seek urgent medical advice — through your GP, NHS 111 or A&E — if you notice any of the following.
- Blood in the urine
- New pelvic or bladder pain
- New neurological symptoms
- Recurrent urinary infections
- Rapid deterioration in symptoms
Diagnosis
How the diagnosis is made
Diagnosis follows a clear, patient-centred pathway — often completed within one or two visits.
- 01
Medical history
Symptom pattern, triggers and impact.
- 02
Bladder diary
A 3-day diary of intake and voiding is highly informative.
- 03
Urine tests
To exclude infection and blood.
- 04
Bladder scan
Post-void residual to confirm complete emptying.
- 05
Urodynamics
In selected patients before advanced treatment.
- 06
Cystoscopy
Where appropriate, to exclude structural causes.
Treatment options
Treatments tailored to you
Treatment is personalised through shared decision-making. Both conservative and procedural options are considered where appropriate.
Frequently asked questions
Your questions, answered
Why patients choose Mr Teleb
Consultant-led urology care you can trust.
Consultant-led care
Every consultation, investigation and follow-up is with Mr Teleb personally.
NHS Consultant
Substantive Consultant Urologist at University Hospital of Wales.
Evidence-based treatment
Modern, guideline-based care delivered to a high standard.
Rapid access
Most new patients are seen within a few days.
Personalised management
Treatment plans tailored to your anatomy, health and priorities.
Clear communication
Unhurried explanations, written summaries and shared decision-making.
Related conditions
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Patient information
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FRCS (Urol)
Fellowship-trained consultant
5.0 patient rating
Verified private reviews
Seen within days
Same-week appointments
All major insurers
BUPA · AXA · Aviva · Vitality · WPA