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I am Dr. Todd Brandt. I am a urologist. 

These are words I couldn't have imagined myself saying as I was growing up thinking about medicine as a career. 

And I have been asked many, many times why I went into urology as a medical specialty. In this podcast I attempt to explain how I got here. Why did I choose urology as a specialty? Why do I like it? Why, if you are someone with a urinary tract, should you care? Get it? Why Urology.

This podcast is a personal experiment in medical audio content. I make the obvious disclaimer that this is not medical advice. You should be going to your own physician for that.

These episodes are meant to educate, entertain, inspire or inform you in some way with urology as the launching point for each episode. Each episode is varied in format and length as I have experimented with content. 

Listen, follow, share, rate, review, know what to do.

If you have kidney stones, or prostate cancer, or another urologic health concern this podcast may help you.

If you have a loved one with any urologic health concern this podcast may help you. 

If you are someone who has asked, "How does my bladder do it's thing?", this podcast may help you.

If you make urine, or even if you don't, this podcast may help you.

Thank you for listening to this podcast. I do appreciated any feedback I get so please reach out to me at the link provided on this website. 

Be well,

Dr. Todd Brandt

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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