Overactive Bladder Specialist

Dr. Daniel Stone, MD FACOG

Urogynecologist located in Phoenix, AZ

Dr. Daniel Stone, MD is one of the leading experts in the surgical and non-surgical management of overactive bladder and urge urinary incontinence. Dr. Stone can diagnosis and provides management options for overactive bladder and urge urinary incontinence to patients in the Phoenix, Scottsdale and surrounding Arizona areas.

Overactive Bladder and Urge Urinary Incontinence Q & A

  • What is Overactive Bladder and Urge Urinary Incontinence?

    Women with Overactive Bladder (OAB) often have a sudden urge to urinate (urgency), frequent urges to urinate (frequency) and wake up frequently at night (nocturia). Some women leak urine on the way to the bathroom and this is referred to as Urge Urinary Incontinence. This is in contrast to Stress Urinary Incontinence which is leakage of urine with coughing, laughing or sneezing.

    This condition is primarily due to problems with the detrusor muscle. This muscle is the muscle surrounding the bladder. This muscle should be relaxed as the bladder fills and should contract when our bladder empties. In women with Overactive Bladder, this muscle becomes overactive and squeezes too often.

Overactive Bladder
  • How common is Overactive Bladder?

    Overactive Bladder is extremely common. Over 33 million people in the United States suffer from Overactive Bladder. 40% of women will suffer from Overactive Bladder in their lifetime.

  • How is Urge Urinary Incontinence different than other types of incontinence?

    Urge Urinary Incontinence is leakage associated with a sense of urgency. In other words, it occurs when you are rushing to make it the restroom. The other main type of leakage occurs with cough, laugh, sneeze, or exercise and is called Stress Urinary Incontinence. 

  • Isn't Overactive Bladder a normal part of aging?

    Overactive Bladder is very common and becomes more common as we age. However, it should not be considered "normal". It can negatively affect your quality of life and should be treated if it bothers you. 

  • What are the risk factors for Overactive Bladder?

    There are several risk factors that make Overactive Bladder worse.

    • Age
    • Menopause
    • Diet (coffee, tea, caffeinated beverages, carbonated beverages, artificial sweeteners, juices, and alcohol)
    • Bladder and kidney stones
    • Urinary Tract Infections
    • Prior Anti-Incontinence procedures
    • Other chronic conditions such as Diabetes, Parkinson’s, Multiple Sclerosis

  • How can Overactive Bladder or Urge Urinary Incontinence be diagnosed?

    The key steps in diagnosing Overactive Bladder are ruling out common conditions that can mimic, or exacerbate Overactive Bladder symptoms, such as urinary tract infections, incomplete bladder emptying, and pelvic organ prolapse

    Depending on your history, Dr. Stone may recommend some additional testing which may include:

    • Urinalysis to check for a urinary tract infection
    • Ultrasound to check for how much urine is left in the bladder
    • Urodynamic testing to get more information on the bladder
    • Bladder diary which requires you to measure the amount and how often you drink and the frequency and the amount of urination.

  • What are the conservative treatments for Overactive Bladder and Urge Urinary Incontinence?

    Dietary Changes: There are certain types of foods and drinks that can make symptoms worse. Some common food and drinks that make symptoms worse include coffee, tea, caffeinated beverages, carbonated beverages, artificial sweeteners, juices, and alcohol.

    Bladder Training: People can train their bladder to hold more urine for longer periods of time. Bladder training involves using your pelvic floor muscle and "mind over bladder" techniques to gradually increase the time between bathroom visits. These techniques can be very difficult to do. Ask Dr. Stone if you're interested in learning more and he can refer you to a pelvic floor physical therapist to learn more about these techniques.

Pelvic Floor Muscle Exercises
  • What are the medical treatments for Overactive Bladder and Urge Urinary Incontinence?

    Overactive Bladder medications help calm the bladder down and help you hold more urine, go less frequently, have more time to get to the bathroom, get up less at night and have less urinary leakage. There are two main groups of medications.

    One group of medications is called anticholinergic or antimuscarinic medications. There are six of these medications on the market and they work well, however, they all have common side effects which include dry mouth, dry eyes, and constipation.

    The newest medication class is called a Beta-3 agonist and there is only one medication currently on the market. It also works well and is much more tolerable in terms of side effects. 

    If you're interested in these medications, Dr. Stone with discuss them with you and will find one that fits your goals and values.

  • What are the advanced therapies for Overactive Bladder and Urge Urinary Incontinence?

    There are 3 advanced therapies for Overactive Bladder and Urge Urinary Incontinence and each one has pros and cons.

    Sacral Nerve Stimulation: This is done with implantable devices that stimulate the nerves that innervate the bladder reducing the need to urinate as often and giving more bladder control. There are two devices on the market, both of which Dr. Stone regularly implants. The advantage of this technique is the long duration that this therapy can remain effective. The disadvantage of this technique is that it may involve 2 procedures for the full implant to take place.

    Percutaneous Tibial Nerve Stimulation (PTNS): This is done with a small needle (similar to an acupuncture needle) that is painlessly placed by the ankle and connected to an external device that delivers small amounts of electrical stimulation. This treatment is done during a series of office visits. The advantage of this technique is it is minimally invasive and painless. The disadvantage is it is time-consuming as one has to frequently return to the clinic for treatments.

    Bladder Botulinum toxin (Botox) injection: Botox relaxes muscles and if injected into the bladder it will relax the bladder muscle. This allows the bladder to hold more urine and allows more time to get to the restroom. Dr. Stone routinely does this in his office under local anesthesia. A small camera (cystoscope) is placed in the bladder and a needle is used to inject the botox into the bladder wall. This treatment tends to last about 6-9 months and will need to be repeated. It works well but can cause temporary urinary retention in 5% of patients.

Testimonials

Nikki
Created by potrace 1.15, written by Peter Selinger 2001-2017backgroundLayer 1Read More
I had really bad urinary urgency, and leakage. I couldn't sleep during the night. I had been to many doctors and nothing helped. I tried multiple medications and was almost depressed by how difficult everything was. That's when I finally found Dr. Stone. Dr. Stone was recommended to me by my coworkers, All staff members are very friendly and knowledgeable, always ready to help. Dr. Stone left a very good impression on me, he talked to me as an equal, explained everything well and answered all my questions. Dr. Stone gave me options and we decided on PTNS (percutaneous tibial nerve stimulation), which is some type of nerve stimulation that reduced the urgency of the baldder.
Anonymous
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Excellent doctor, clinic and care. He is a very kind, skilled doctor that treats pelvic floor disorders. I had really bad urgency, frequency and urge urinary incontinence. We talked and we tried several medications which helped but not well enough. We then tried sacral nerve stimulation, interstim I think is the name of it. It's this small device that was implanted and is like a pacemaker for the bladder. Anyways, it works wonders. I'm so happy.
Sandy
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"Dr. Stone is a really good doctor. After I had the urethra sling surgery Dr Stone called me at home to see how I was doing. The office staff is good. Dr Stone's nurse Iris is really good she returns calls. I will refer my family and friends to this office."
Debra
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"Dr. Stone has been wonderful. I was very hesitant at first to see a man but he put me completely at ease. I was able to speak to him about my problem with leakage. He discussed several options and gave me choices which I loved. Eventually I decided on surgery. The surgery went well and I finally have my life back again."
Tina
Created by potrace 1.15, written by Peter Selinger 2001-2017backgroundLayer 1Read More
"I highly recommend him. I will be referring all my loved ones if ever they develop problems."
Betsy
Created by potrace 1.15, written by Peter Selinger 2001-2017backgroundLayer 1Read More
"He put us at ease about the surgery by really explaining the procedure in detail to me, my husband and my daughter. He made me feel like I was his only patient."
Joyce
Created by potrace 1.15, written by Peter Selinger 2001-2017backgroundLayer 1Read More
"Awesome!! Would give him 10 stars!!!!! Dr. Stone took the time to fully explain medical procedures. He patiently answered all my questions."
Alice
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"His bed-side manner put me at ease discussing a very embarrassing topic. I'd recommend him to anyone."
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Major Insurance Providers Accepted

We accept most insurance policies for your convenience. Please contact your insurance carrier to verify your individual benefits and any copays or coinsurance that are part of your plan. Patients are responsible for notifying our office if a specific plan requires precertification, preauthorization, or a referral (especially HMOs). Please call the phone number on the back of your insurance card to verify your provider network participation as insurance carriers change policies often.

Schedule your appointment with Dr. Stone today

One of our staff members will contact you directly. If you have any concerns requiring immediate attention, please don’t hesitate to call us at 602-788-1521.

Dr. Stone is also offering Telemedicine visits. Call to schedule today.

Office location

Valley Urogynecology Associates

1616 East Maryland Avenue

Phoenix, Arizona 85016-1302

Office Hours: Monday-Friday from 8 AM – 5 PM

Main: (602) 788-1521

Fax: (602) 688-5420

Conveniently located just off Highway 51 on Maryland Avenue just East of 16TH Street between East Bethany Home Road and East Glendale Avenue.