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There's a moment in this episode where Dr Sula describes her own experience of urodynamic testing. She was alone. Nobody explained what was happening. She was handed a backless gown, connected to equipment, told to cough, told to sit on a transparent toilet. When the test was done, she was shown the door to a bathroom that opened directly onto a waiting room full of people, with no regard for the significant pain she was in. That experience isn't an anomaly and the issue isn’

Somewhere along the way, many people with bladder urgency get told to retrain their bladder. Hold on a bit longer. Build up gradually. Resist the urge. It sounds reasonable. For some people, it works well. For others, it quietly makes things significantly worse — and the reason comes down to a distinction that even clinicians sometimes miss. Two Approaches, Two Very Different Outcomes Bladder retraining and bladder drill are not the same thing. They're used for different pres

Here's something worth knowing before you spend another year trying to work out which organ is the problem. Inside the pelvis, the organs don't operate independently. They share nerve supply, they share space, and as the research increasingly shows, they share the consequences of each other's distress. Closer Than Any Diagram Suggests Anatomical textbooks tend to give the impression that the bladder, bowel, uterus and pelvic floor live in tidy, separate compartments. The clin

Most people, when something goes wrong with their bladder, start looking for a physical explanation. A structural problem. An infection. Something that shows up on a test. What the science of neurourology suggests, though, is that the conversation happening between your bladder and your brain is at least as important as anything happening in the organ itself. The Bladder Brain Connection is Active Every Moment Filling, sensing, waiting, deciding – our bladder and brain are in