Overactive Bladder (OAB) Syndrome

Harley Street, London

Overactive bladder (OAB) syndrome can affect both men and women, causing bothersome urinary symptoms that can significantly impact quality of life. The hallmark feature of OAB is a strong, sudden urge to urinate that may be difficult to control, frequent need to pass urine and the need to get up overnight to urinate. during the night. In severe cases OAB syndrome can also lead to leakage of urine (urinary incontinence).

Diagnosing OAB is initially based on the symptoms reported by the patient, such as urgency, frequency, and nocturia. Validated questionnaires and bladder diaries are important for accurately measuring symptoms. A thorough examination will be performed to exclude other underlying conditions. Basic investigations include urine analysis for infection and urinary flow analysis. Imaging studies such as ultrasound and cystoscopy may also be required indicated in specific situations. For complex and advanced cases, Mr. Raison has the specialised expertise to conduct detailed bladder function analysis using urodynamic studies (pressure flow studies).


There are various approaches to manage OAB and improve your quality of life. Conservative management of OAB often begins with key lifestyle changes. This includes bladder training to improve bladder control. Managing your fluid intake can also help. Another effective method is pelvic floor muscle exercises, which can strengthen these muscles and support better bladder control.

If conservative methods are insufficient, Mr Raison may prescribe medications such as anticholinergics or beta-3 agonists. These medications can help relax the bladder muscle and reduce symptoms like urgency and frequency. Mr Raison will recommend the best options based on your specific symptoms.

For individuals who do not respond to conservative treatments or medications, advanced therapies may be considered. Neuromodulation, which involves electrical stimulation of nerves to improve bladder function, can be effective. Another option is botulinum toxin injections, which can help relax an overactive bladder by blocking the release of certain chemicals that trigger contractions. For end stage severe disease, fourth line treatments include major bladder augmentation surgery.

Effective management strategies can significantly improve your OAB symptoms and enhance your overall quality of life. Don’t hesitate to reach out for help and support on your journey to better bladder health.

Mr Raison is available for private urology consultations, treatments, and surgical procedures at The London Clinic, Harley Street.

Mr Nicholas Raison

Consultant Urological Surgeon & Associate Professor

Harley Street, London