Causes, diagnosis, and treatments An overactive bladder (OAB) is a condition where the bladder muscle contracts too often, causing a sudden, strong urge to urinate. This can lead to leaks and accidents. OAB can be caused by a number of factors, including an infection, nerve damage, and certain medications. A diagnosis can be made based on symptoms and a physical examination. Treatment options include lifestyle changes, medication, and surgery. Tips for better urinary incontinence control If you have an overactive bladder, you know the feeling all too well. That sudden, urgent need to go that can sometimes be impossible to control. While an overactive bladder can be frustrating and even embarrassing, there are things you can do to help gain better urinary incontinence control. Here are a tips Avoid caffeine and alcohol. Both of these substances can irritate the bladder and make incontinence worse. ...