“I always wanted the office with the window and after
years I finally have it; now I’d prefer my office close
to the bathroom.” Carol 47 years old confided in me and
did not dare to go to her boss to ask her old office
back. She had to go often and being further from the
bathroom was a real problem towards productivity. She
had tried medications from her primary care provider,
being advertised on TV for when you “got to go”;
however, they seemed to make it worse. She had tried
several of them.
Carol tried to eat healthy and exercise and thought
that drinking a lot of water was a good thing for her
too. She based the latter on numerous magazines stating
that drinking water was good for you and as many other
people thought: the more the better.
She had failed
several medications meant to treat
OAB; maybe a sign that something else was
For years Carol had been drinking a lot of water, to
the extent where people were asking her if she had a
swimming pool in her stomach. Even before Carol was
assigned to her new office, further from the bathroom,
she had cut down on her intake.
Carol did not know what to do anymore and made an
appointment at Central Florida UroGynecology for help.
She stated she had overactive bladder (OAB) and needed
treatment. She also added that she had failed several
medications meant to treat OAB; maybe a sign that some
else was going on.
For years, while Carol tried to drink a lot of water,
she had ignored the emptying signs of her bladder. In
addition, she would stretch out her bladder so much, it
could not contract adequately to empty. Carol would walk
around with a full bladder all the time; her bladder did
not empty well anymore.
Carol did not have OAB, but incomplete bladder
emptying. Carol recognized the problem in time to avoid
having it progress into severe urinary incontinence and
bladder scarring. She underwent PTNS or percutaneous
tibial nerve stimulation. Carol sat in a chair once a
week, watching TV, while the nerve in her ankle was
being stimulated. This nerve has a direct connection
with the nerve innervating the bladder. We were trying
to reset her natural nerve sensitivity. Carol also bent
forward some when emptying her bladder and sometimes got
up and sat right down again, to get more urine out. She
also understood that water is healthier than soda, but a
bladder does empty more effectively if it is not
overstretched. Not only can large amounts of water at
once dilute the electrolytes in the blood, it also
overstretches the bladder preventing it from emptying
well. The bladder is very comfortable with 10-12 oz, but
not too keen on 20 oz. Carol noticed she felt better
without pushing the water on herself. For years she had
dizziness and fatigue and even visited the Mayo Clinic,
where the entire work-up had been normal. She knew now
that it had been because of her excessive water intake.
Carol still has the office with the window, but can
empty her entire bladder again. Carol empties her
bladder every 3 hours during the day, has a normal water
intake and feels in control again.
Yes, she really does enjoy the window now.
If you have tried treatments, which do not seem to
help, your diagnosis might not be correct. At Central
Florida UroGynecology we have two female Board Certified
Urogynecologists; Katrina Davis, M.D. & Marja Sprock,
M.D. to help you.
Call 321-806-3929 or check us out at
Florida UroGynecology where high tech and common sense