Dr. Anjali Kapoor

And so in a little bit, we'll get into each therapy that's no longer stepwise, but what we offer in terms of conservative to less conservative management or those minimally invasive therapies.

Just in terms of the workup, what are some indications in a patient's history or on their exam that would make you want to do further workup with either a cystoscopy or urodynamics or have them get a bladder diary?

In cases where you are utilizing urodynamics, are you using traditional urodynamics or leaning towards more what we see with ambulatory urodynamics nowadays?

Yeah, it seems very useful in terms of capturing a larger breadth of information rather than, again, that snapshot that you were talking about.

In general, how long do you think patients who see you are suffering with overactive bladder before they come in for an evaluation?

And generally, I think the people who have been waiting years before they come in have, you know, a lot of effects on quality of life.

And there's been several studies done that show detrimental effects in all aspects of quality of life between emotional, physical, lost work hours, things like that.

So that can be like an overwhelming initial visit when they first see you.

Yeah, especially with the variety of things that we can offer nowadays and that, you know, elimination of the step therapy.

So we'll go through what first line management or what used to be called first line management looks like.

What do you typically tell patients to modify with behavior or lifestyle when you're counseling them on overactive bladder symptoms?

Yeah, all important things.

Is there ever a cohort of patients that you recommend PT in or pelvic floor physical therapy?

Right, right.

Yeah, a lot of times patients just say that, you know, they tried Kegels at home and they don't actually realize that a lot of times, you know, what type of incontinence they're being treated for with the PT.

Sometimes it's stress incontinence.

So that can be very confusing for patients.

In terms of medications, are you currently offering beta-3 agonists, anticholinergics?

What is your preference when you first approach a patient who says they want to opt for medication?

Right, yeah, that was my next question.