Advanced Therapies for Overactive Bladder: Beyond Pills and Exercises
Published: Dec 09, 2023
For some people with overactive bladder (OAB), lifestyle changes and medications don't provide enough relief. Fortunately, there are advanced therapies that can help. These range from minimally invasive procedures to surgical options.
Contents
Nerve Stimulation Techniques
Nerve stimulation therapies work by modulating the nerve signals that control the bladder. There are several types, including percutaneous tibial nerve stimulation (PTNS) and sacral neuromodulation (SNM). PTNS involves placing a thin needle near your ankle to stimulate a nerve that affects bladder function. SNM uses a small implanted device to send mild electrical pulses to the sacral nerves.
Botox Injections
Botox isn't just for wrinkles - it can also help with OAB. When injected into the bladder muscle, it helps relax it, reducing sudden urges and leaks. The effects typically last 6-12 months before the procedure needs to be repeated. While effective, it does carry a risk of temporary urinary retention.
Augmentation Cystoplasty
This surgical procedure involves enlarging the bladder using a piece of your intestine. It's typically reserved for severe cases that haven't responded to other treatments. While it can significantly improve bladder capacity, it's a major surgery with potential complications.
Frequently Asked Questions
Many are, but coverage varies. Check with your insurance provider.
Typically 6-12 months, after which the procedure can be repeated.
Yes, the device can be removed if needed.
Some newer devices are MRI-compatible. Discuss this with your doctor.
Key Takeaways
Advanced therapies offer hope for those with persistent OAB symptoms, potentially providing significant relief and improved quality of life.
Wondering if advanced therapies might be right for you? Discuss your options with Doctronic to find the best path forward.Related Articles
References
Amundsen CL, et al. OnabotulinumtoxinA vs Sacral Neuromodulation on Refractory Urgency Urinary Incontinence in Women: A Randomized Clinical Trial. JAMA. 2016;316:1366-1374.
Gormley EA, et al. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline amendment. J Urol. 2015;193:1572-1580.
Always discuss health information with your healthcare provider.