Overactive Bladder Treatment in Katy, TX
Constant urges to urinate, frequent bathroom trips and waking up at night can wear you down. Overactive bladder is common, and it responds well to the right treatment.
Overactive bladder (OAB) causes sudden, hard-to-delay urges to urinate, frequent urination and, for some women, leakage. It happens when the bladder muscle contracts before the bladder is full. At Katy Women’s Pelvic Health, Dr. Solafa Elshatanoufy treats OAB step by step, from bladder training and medication to Botox and Axonics nerve therapy.
Understanding Overactive Bladder
A healthy bladder stretches quietly as it fills and signals you to empty it at a convenient time. With overactive bladder, the bladder muscle (the detrusor) squeezes too early or too often, creating a sudden urge that is difficult to put off. Some women leak on the way to the bathroom, which is called urge incontinence. Others have urgency and frequency without leakage, sometimes called “dry” OAB.
OAB becomes more common with age and after menopause, but it is not a normal part of getting older. It can disrupt sleep, work and travel, and many women quietly reorganize their lives around bathroom access. Effective treatment is available, and most women can reduce their symptoms significantly.
Common Symptoms and Possible Causes
OAB is defined by its symptoms, so recognizing the pattern is the first step.
Symptoms women often notice
- A sudden, strong urge to urinate that is hard to delay
- Urinating more than about eight times in 24 hours
- Waking two or more times at night to urinate
- Leaking urine with an urge, sometimes before reaching the toilet
- “Key in the door” urgency when arriving home
- Planning outings around restroom locations
Possible causes and contributing factors
- Involuntary contractions of the bladder muscle
- Lower estrogen levels after menopause
- Nerve conditions such as multiple sclerosis, Parkinson’s disease, stroke or spinal problems
- Bladder irritants such as caffeine, alcohol, carbonated and artificially sweetened drinks
- Constipation and pelvic floor dysfunction
- Pelvic organ prolapse or incomplete bladder emptying
- Diabetes and certain medications, including diuretics
A urinary tract infection, bladder stone or, rarely, a bladder tumor can mimic OAB. That is why new or changing urinary symptoms deserve a proper evaluation. Learn how to tell the difference in our article on overactive bladder vs. UTI.
When Should You See a Urogynecologist?
Many women start with their primary care doctor or gynecologist. A urogynecologist adds fellowship training in female pelvic medicine and reconstructive surgery, in-office bladder testing and access to advanced therapies such as bladder Botox and sacral neuromodulation when first-line treatments are not enough.
- Urgency or frequency is affecting your sleep, work or social life
- You have tried fluid changes or one medication without enough relief
- Medication side effects such as dry mouth or constipation were hard to tolerate
- You also have leakage with coughing or exercise, pelvic pressure or repeated infections
See a doctor promptly for blood in the urine, pain or burning with urination, fever, or a sudden inability to urinate.
Specialized Care From Dr. Solafa Elshatanoufy
Dr. Solafa Elshatanoufy is board-certified in obstetrics and gynecology and in female pelvic medicine and reconstructive surgery (urogynecology). She completed her residency and urogynecology fellowship at Wayne State University and has more than 21 years of experience in medicine.
For overactive bladder, she offers the full treatment pathway in one practice, from behavioral therapy and medication through bladder Botox injections and Axonics sacral neuromodulation. Her Doctor of Pharmacy (PharmD) training is especially helpful in choosing bladder medications that suit your age, other conditions and current prescriptions.
How We Diagnose Overactive Bladder
Diagnosis is usually based on your symptoms and a focused evaluation. Testing is added only when it will change your treatment.
- Symptom history and bladder diary: a 2 to 3 day record of fluids, bathroom trips and urgency episodes.
- Urinalysis: to rule out infection or blood in the urine.
- Pelvic examination: to check vaginal tissue health, pelvic floor muscles and prolapse.
- Post-void residual: a quick scan to make sure your bladder empties well.
- Urodynamic testing or cystoscopy: for complex symptoms, blood in the urine or when first treatments have not worked.
Treatment Options for Overactive Bladder
OAB treatment follows a stepped approach. Many women improve with first-line care, and advanced options are available when needed.
First- and second-line care
- Bladder training: gradually lengthening the time between bathroom trips with urge-suppression techniques.
- Fluid and diet changes: balanced fluid intake and fewer bladder irritants.
- Pelvic floor physical therapy: quick pelvic floor contractions can calm an urge.
- Vaginal estrogen: can reduce urgency and frequency in some postmenopausal women.
- Medication: beta-3 agonists or anticholinergic medicines that relax the bladder muscle, chosen with attention to side effects and your other prescriptions.
Advanced therapies
- Bladder Botox: an office procedure in which botulinum toxin is injected into the bladder muscle to reduce urgency and leakage. Results typically last several months and the treatment can be repeated.
- Axonics sacral neuromodulation: a small implanted device that regulates the nerve signals between the bladder and brain, usually tested first to confirm it helps.
Dr. Elshatanoufy will explain the benefits, risks and practical considerations of each option, so you can choose what fits your life.
What Can You Expect From Treatment?
Bladder training and lifestyle changes usually show results over 6 to 12 weeks. Medications are typically reviewed after a few weeks to check benefit and side effects. Bladder Botox usually begins working within one to two weeks and is repeated when symptoms return. Sacral neuromodulation is tested before a permanent device is placed, so you know whether it helps.
OAB is often a long-term condition that can be well controlled rather than permanently cured. Most women achieve meaningful relief, and we stay with you to adjust treatment over time.
Overactive Bladder Care in Katy, Texas
Every level of OAB treatment, from first steps to advanced therapy, under one specialist.
- Board-certified, fellowship-trained urogynecologist
- In-office bladder testing
- Medication expertise from a physician with a PharmD
- Bladder Botox performed in our practice
- Axonics sacral neuromodulation
- Pelvic floor physical therapy support
What Our Patients Say
Patients share their experience of care at our Katy office. Individual results vary.
Dr. Elshatanoufy is simply wonderful! She took the time to thoroughly explain my extensive lab results and other tests, answered all of my questions, and gave me the confidence and peace of mind I needed before moving forward with the procedure.
The entire staff was also incredibly attentive, courteous, and welcoming throughout my visit. I truly loved my experience there and felt very well cared for. I definitely trust Dr. Elshatanoufy and her team with my health needs and would highly recommend them!
I can’t say enough good things about Dr. Solafa. She is warm, attentive, and incredibly compassionate. She takes her time during appointments, listens carefully to concerns, and never makes you feel rushed. Her bedside manner is truly wonderful, and she creates such a comfortable and reassuring environment. You can tell she genuinely cares about her patients. Very sweet, professional, and knowledgeable. I’m so grateful to have found her for my mom’s treatment.
Dr. Elshatanoufy was truly lovely to work with. I’ve had a hard time pinning down my symptoms but she was willing to hear my concerns and do a thorough examination to rule out more serious conditions. She was thorough, efficient, patient, gentle, and kind during the pelvic examination, which is a vulnerable position for women. I felt that she genuinely cared for my wellbeing. After receiving less than ideal care at a neighboring practice in Katy, I am really grateful to Dr. E for validating my concerns, making me feel heard, and reassured with my next steps.
The waiting room was pretty busy and cold when I went. Suggest bringing headphones and some long sleeves!
My experience perfection. From check in to check out. Dia was my MA and she was so professional and a pleasure. She answered all my questions and made sure I was taken care of. Dr Elshatanoufy was AWESOME! Great bedside manner and make my exam comfortable. Then I had the pleasure to check out with Elizabeth and she was just as pleasant. I can tell this is an office that cares greatly for their patients!
This was my first visit at Katy Women’s Pelvic Health. It was a great experience, from checking in with a very helpful and friendly receptionist to being seeing by Nida the office manager, Oyin the NP and Dr. E. Everyone was very friendly, professional, and made the visit very comfortable. They thoroughly explained all the finding and the options for treatment. I highly recommend this practice.
Dr E. and her whole staff are gems! They have the best customer service, energy, and I noticed they are great with all other patients besides me. Dr E. really listens to your problems, offers solutions and she explains things so well. You can tell she loves what she does and does a wonderful job at it. I definitely recommend her practice to anyone seeking top notch, high quality care.
Just the kindest people! I was so at ease with the whole experience!! Very knowledgeable, explained everything and answered all my questions!!! Wish I had found her earlier in my life!!
Mi nombre es Nidia, I am a patient at Katy Women’s Pelvic Health and had my surgery less than 15 days ago. This clinic is highly recommended for its excellent medical and humane care. This type of care is provided by the entire staff, in addition to the doctor, including the receptionist, nurses, and health technicians. The surgeon is Solafa Elshatanoufy, who has more than 20 years of experience in women’s pelvic health, offering modern, effective, and minimally invasive treatments in many cases. She is a compassionate and empathetic person who makes you feel safe, listened to, and cared for by expert and professional hands. The environment is clean and welcoming, and thanks to its modernity, I felt almost no discomfort or pain during the procedures, and everything was quick.
One of the best places to see OBGYN. My mom sees Dr. Solafa. The staffs, nurses, Doctors and the services they provide are very professional and welcoming. Highly recommended.
Top-tier doctor and extremely skilled surgeon, I could not have been more blessed to have her taking care of me. Thank you, Dr. E!
Dr. E is a super great Doctor who listens attentively and collaborates closely with patients throughout every step of the process. Additionally, the office staff was professional, courteous, and efficient.
Dr. E is so kind and professional. She listened to all my concerns and had an answer to all my questions. She made sure I was happy with my medications. Her staff is so helpful and make the visit go quickly and efficiently. I am so glad I found Dr E!
Dr. E has the best bedside manner compared to all the doctors I have seen before. She is so knowledgeable and truly cares for her patients and wants the best for everyone. I feel incredibly lucky to find a doctor willing to always spare time for patients. She is amazing and 1000% worth the wait!!!!
Frequently Asked Questions About Overactive Bladder
How many times a day is it normal to urinate?
Most adults urinate about four to eight times during the day and up to once at night. Going more often, especially with sudden urgency, may point to overactive bladder.
Is overactive bladder the same as a UTI?
No. A urinary tract infection is caused by bacteria and usually brings burning, cloudy or strong-smelling urine. Overactive bladder causes urgency and frequency without infection. A urine test helps tell them apart.
Should I drink less water to control urgency?
Cutting fluids too much concentrates the urine and can irritate the bladder. Most women do better with steady, moderate fluid intake spread through the day and fewer bladder irritants.
Does bladder Botox hurt?
The bladder is numbed before the injections, and most women describe mild discomfort. It is done in the office, and most women return to normal activities the same day.
What if medication did not work for me?
Many women try a second medication or move to advanced options such as bladder Botox or Axonics sacral neuromodulation, which help many people who did not respond to pills.
Can overactive bladder be cured?
For many women it can be well controlled rather than permanently cured. With the right combination of treatments, most women regain much more control and confidence.
Do you see patients from outside Katy?
Yes. Women from Fulshear, Richmond, Sugar Land, Cypress and across Greater Houston are seen at our Katy office.
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All evaluations, bladder Botox treatments and follow-up visits take place at our Katy office at 410 W Grand Pkwy S, Suite 320. New patients are welcome from Katy and Cinco Ranch, and from Fulshear, Richmond, Sugar Land, Cypress and West Houston.
Ready to Take Back Control of Your Bladder?
Schedule a consultation with Dr. Solafa Elshatanoufy to find the overactive bladder treatment that fits your life.
410 W Grand Pkwy S, Suite 320, Katy, TX 77494