Urgency, frequency, refractory overactive bladder, neurogenic bladder, urinary retention, and complex bladder dysfunction.
Treatment may range from behavioral and medical therapy to advanced therapies for refractory symptoms. Objective testing clarifies whether obstruction, bladder dysfunction, or both are responsible before advanced treatment is recommended.
The emphasis is on a stepwise and individualized approach, starting with the least invasive option that can realistically achieve your goals.
A diagnosis does not automatically mean surgery. Conservative and non-surgical options are reviewed first whenever they can achieve your goals.
Voiding dysfunction refers to problems with storing or releasing urine. These conditions can result from neurologic disease, pelvic nerve injury, medication side effects, prior surgery, or unknown causes. Dr. Bilal Farhan specializes in diagnosing the underlying cause and offering targeted treatments to restore bladder function.
His fellowship training in functional urology and voiding dysfunction allows him to manage complex cases with urodynamic testing, neuromodulation, Botox, catheter-free solutions, and reconstructive surgery when needed.
Comprehensive bladder function studies to pinpoint the cause of symptoms.
Minimally invasive bladder and urethra examination for accurate diagnosis.
InterStim and Axonics therapies to restore bladder and bowel control.
Targeted injections to relax an overactive or spastic bladder.
Options to reduce dependence on catheters and improve independence.
Surgical options for complex urinary diversion or outlet obstruction.
Procedure Gallery
Voiding dysfunction is diagnosed with objective testing, not guesswork. Here is the pathway from measurement to targeted therapy.
DiagnosticsPressure-flow studies measure how the bladder stores and empties, distinguishing obstruction from underactivity and guiding treatment precisely.
Common causes include neurologic disease such as multiple sclerosis, Parkinson's, or spinal cord injury, pelvic surgery, prostate obstruction, urethral stricture, medications, and pelvic floor dyssynergia.
Not necessarily. Many patients reduce or stop catheterization after neuromodulation, Botox, or surgery to relieve obstruction. Dr. Farhan's goal is the safest catheter-free option available to you.
It involves small catheters and takes about 30-45 minutes. Most patients describe it as mildly uncomfortable rather than painful, and it delivers information no other test provides.
Yes. Neuro-urologic care is collaborative. Dr. Farhan works alongside neurology and rehabilitation teams to protect kidney function while improving daily quality of life.
