Episode 327: Bladder Leakage Is Common, But That Doesn’t Mean It’s Normal — with Dr. Alex Rogers

I’m joined this week by my brilliant colleague and fellow urologist, Dr. Alex Rogers, for a candid, informative conversation about something way too many people silently struggle with: bladder leakage.

We’re two urologists talking all things pee — from stress incontinence to overactive bladder, and everything in between. Whether you’re dealing with a sudden urge to run to the bathroom, leaking when you laugh or sneeze, or you’re just confused about what’s going on down there, this episode is for you.

We break down the two most common types of bladder leakage — overactive bladder and stress urinary incontinence — and explain why they require totally different treatment approaches. We also talk about the huge impact of hormones on bladder health, especially in menopause (yes, estrogen matters here too!).

Dr. Rogers and I dive into:

Why bladder leakage is so common — and why we shouldn’t normalize it

The real science behind overactive bladder

Why Botox is an underutilized but super effective treatment option

How pelvic floor therapy fits into the bigger picture

What’s new and exciting in urology (hello, neuromodulation and telehealth)

The frustrating role of insurance in limiting access to care

How to find a provider who actually knows what they’re doing when it comes to bladder health

This isn’t just a “deal with it” issue — it’s a quality of life issue. And the good news? There are solutions. Real, evidence-based, life-changing options. But only if we talk about it. So let’s talk.

Takeaways:

Bladder leakage is common but under-discussed

Hormonal changes play a huge role in bladder function

Overactive bladder ≠ stress incontinence — and treatments vary

Botox is a powerful and underutilized option

Telemedicine and new tech are changing the game

Education empowers patients to advocate for better care

Insurance hurdles are real — and we need to fight for better access

Find the right specialist — not all care is created equal

Let’s stop suffering in silence and start empowering ourselves and our patients with facts, not shame.

🎧 Listen now and share with someone who needs to know they're not alone — and that bladder leakage is treatable.

https://www.bladderboutique.com/

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