Bladder Control Assessment

Napa Valley Urology Associates’ doctors conduct a thorough Bladder Control Assessment.   Generally to figure out what is happening in the bladder, your urologist will conduct a bladder ultrasound and have you complete a urinalysis.  Other in-office tests that may follow up include Urodynamics (to evaluate problems with urination) as well as a possible Cystoscopy (looking inside the bladder with a small scope), if necessary depending on your condition.  Your Urologist will discuss with you what is happening with your bladder and urinary issues, and all possible treatment options including dietary issues, exercise, physical therapy and possible medications. 

If you suffer from OAB, Stress Incontinence or urinary retention and your symptoms have not improved with physical therapy, medication or other conservative options, your Urologist will determine if you may require interventional therapy such as Sacral Neuromodulation, Botox or Nerve Stimulation (PTNS Treatment).  Your Urologist will focus on: 


When you require a more sophisticated assessment for diagnosis of their urinary symptoms, urodynamic tests can help evaluate the bladder and urethral sphincter muscles.

Initial Assessment

You may find it beneficial to take a brief quiz “Is Your Bladder Acting Up?” on your bladder behavior. 

Your urologist may also ask you the following questions to help assess whether you may benefit from interventional therapy.  These questions may include the following:

  • How long has the leakage been present?
  • Is frequency, urgency, or nocturia occurring?
  • Do you have a history of recurrent UTIs?
  • Do you have a history of obstructive symptoms?
  • Have you had previous surgeries that may be causing the symptoms?
  • Do you suffer from additional significant medical problems?
  • How are the symptoms impacting daily activities? Are there activities you no longer enjoy because of bladder control problems?
  • Do your bladder control problems occupy your thoughts?
  • What is your voiding pattern? (Many patients void frequently to keep their bladder volumes low in an attempt to avoid or minimize the impact of their stress or overflow incontinence.)
  • Are you taking medication that may be causing urinary side effects?
  • What is your daily liquid intake, as well as daily intake of caffeine and alcohol?

Medical and Surgical History

The doctor will review your medical and surgical history.  Several coexisting medical conditions may influence overactive bladder such as diabetes, etc. which can be discussed further with the doctor.

Voiding Diary

Prior to the first visit, it may be useful to have a bladder diary completed.  This tool is a self-monitored, written record of how often and how much you urinate, the amount of leakage, the degree of urgency prior to voiding, and the sensation of an empty bladder after voiding.