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OAB with Urine Leakage
I am 32 years old male now, since childhood whenever urge of urine comes it is so intense and pain in bladder that immediately I need to go pass urine but from last 8 years severe intense urge with pain and urine leakage. Solifenacin, mirabegron causes hard stool due to having Irritable bowel syndrome mix type and then anal fissure surgery and surgeon said me to keep stool soft. Urologist are saying to remove bladder. Any solution of this problem permanently without removing bladder.
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Your history—since childhood severe urgency, pain with urge, and now leakage—points toward a chronic bladder condition, most likely:
• Overactive Bladder (OAB) with urgency incontinence
• Or Interstitial Cystitis (painful bladder syndrome)
Next Steps
You should consult a urogynecologist / functional urologist and explore these options BEFORE surgery:
A. Advanced non-surgical treatments:
• Bladder Botox Injection
– Reduces urgency and leakage
– Minimal systemic side effects (good for IBS patients)
• Sacral Neuromodulation (nerve stimulation therapy)
– Controls bladder signals
– Very effective in refractory OAB
B. Investigations (if not already done):
• Urodynamic study (to confirm exact bladder dysfunction)
• Cystoscopy (rule out structural pathology)
C. Pelvic floor therapy:
• Specialized bladder training + pelvic physiotherapy
Health Tips
• Avoid bladder irritants: caffeine, spicy food, artificial sweeteners
• Timed voiding (don’t wait till severe urge)
• Maintain soft stools (very important given fissure history)
• Manage IBS aggressively (gut-bladder axis plays a role)
⚠️ Red flag advice:
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Please consult urologist offline.
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You need to consult with urologist physically in nearby hospital.
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Consult superspecialist like urologist
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.