True to its name, Overactive Bladder is the presence of urgency, frequency, and/or nocturia (getting up at night to void). Leakage can be associated with this condition, but is not needed for this diagnosis. Our patients with overactive bladder can expect a thorough history and evaluation to rule out underlying causes (such as infection, stone, or bladder tumor), but most women will not have any obvious problems on exam. Treatments are lifestyle changes, physical therapy, medications, Botox, or direct stimulation of the nerve that is not working properly.