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Welcome to the Why Urology podcast with Dr. Todd Brandt.

This podcast is my personal attempt to teach you about your genito-urinary tract, what can go wrong, and how your urologist may just become your superhero.

The name of the podcast comes from my ongoing need to answer the question that I get so often from patients, friends, and family, “Why Urology? Why did you choose to become a urologist?”

Oct 7, 2018

This episode of the podcast I interview Dr. Steven Siegel about the treatment of Overactive Bladder (OAB).

 Dr. Siegel is the director of the Metro Urology Centers for Female Urology and Continence Care.

Dr. Siegel is internationally recognized for his work related to urinary incontinence and voiding dysfunction. Dr. Siegel is an educator, lecturer, a clinical researcher. Dr. Siegel has trained over 20 fellows as part of an ongoing fellowship. He has received the Christina Manthos award for demonstrating extraordinary mentoring skills in supporting the careers of female urologists from the society of Women in Urology. He was honored with the David C. Utz award for Urologic Advancement and Innovation from the Minnesota Urological Society. He is a past president of the North Central section of the American Urologic and chairman of the Practice Standards Committee of the Society of Female Urology and Urodynamics. He is a founding member and past president of the International Society for Pelvic Neuromodulation.

Overactive bladder is term used for diagnosis of a set of symptoms that are: frequency, urgency, nocturia, and urge incontinence.

First-line treatment for over active bladder include: 1. fluid adjustment during the day to strategically limit urinary output, 2. avoiding bladder irritants such as caffeine, alcohol, spicy food,and acidic food, 3. medications that are anti-muscarinic agents.

Although we can all understand the concept of an “overactive bladder,” using that term as the diagnosis often misleads the patient and physician as to what is actually causing the symptoms. In this episode of the podcast Dr. Siegel describes that often in patients he sees the cause of urinary symptoms is dysfunction of the muscles of the pelvic floor–either spasticity with one or more of the muscles within the pelvic floor or inability of a patient to identify and appropriately recruit muscles within the pelvic floor to tell the bladder to function normally.

In this episode Dr. Siegel discusses the role of biofeedback and pelvic floor retraining for those patients who cannot recruit their pelvic floor muscles appropriately and he discusses how physical therapy can help those patients with pelvic floor spasticity and pain.

I hope you enjoy my interview with Dr. Steven Siegel.

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