Overactive bladder (OAB) is a condition suffered by many women. The urinary symptoms like a strong urge to urinate at inconvenient times can severely decrease your quality of life. Medication that relaxes the bladder can help alleviate overactive bladder symptoms and decrease urge incontinence episodes. It is often the first line of defense against an overactive bladder.
However, many women discontinue medication use within a year. For some women, medications do not work. Others suffer from unpleasant side effects such as constipation, dry eyes, and dry mouth.
Refractory OAB occurs when bladder urgency or incontinence does not improve after taking one or two medications. Unfortunately, these individuals must continue rearranging their day around bathroom access because of worries about urges or leaks.
But there are alternatives.
What To Do if OAB Medications Don’t Work
Medication is only one component of the overactive bladder treatment equation. If OAB medications don’t work for you, there are alternatives to consider.
1. Botox
Botox is well-known for reducing the appearance of wrinkles on the skin. However, Botox injections can also be beneficial for the bladder. Injecting the drug directly into the bladder calms the bladder and prevents urgency and urinary leakage.
Injections are administered in the doctor’s office and are typically repeated two to three times per year.
2. Sacral nerve stimulator
Sacral nerve stimulator therapy employs a device that functions similarly to a pacemaker but for the bladder. It helps regulate bladder function by stimulating the sacral nerve with a mild electrical current. Axonics is an example of a sacral nerve stimulator.
Before implanting the Axonics device, there is a trial period. The test phase procedure may be performed in an operating room or medical office. The doctor will anesthetize a small region near the tailbone before inserting a thin, flexible needle. This needle will be linked to a wire near the sacral nerves. A temporary battery is used for a two-week test stimulation to determine its effectiveness.
If there is an improvement, the permanent Axonics device is implanted beneath the skin of the lower back. It will not harm nerves and can be easily removed or turned off at any time. A remote control or phone app gives the patient complete control, allowing for treatment customization.
3. Percutaneous Tibial Nerve Stimulation (PTNS)
PTNS is a non-invasive neuromodulation treatment for OAB. By relaxing the bladder muscles, PTNS can reduce OAB symptoms. Urgent PC is one type of PTNS device.
During the PTNS procedure, the foot is elevated, and a thin needle electrode is positioned near the tibial nerve in the ankle. The sacral nerve receives mild electrical impulses via the tibial nerve. The sacral nerve plexus controls the function of the bladder.
During the procedure, patients typically describe a pulsing, tingling, or vibrating sensation around the leg or foot. The sensations are not uncomfortable.
PTNS can alter bladder function through a series of 12 weekly treatments, each lasting approximately 30 minutes. Your PTNS response will be evaluated. Additional treatments may be required over time to maintain the improvement of OAB symptoms.
Talk To A Urologist About OAB Treatment
OAB can negatively affect your quality of life and struggling to find the right treatment can be frustrating. Options like Axonics can help reduce or eliminate your symptoms without the unwanted side effects of medications. Talking to an experienced urologist about your options is the first step to getting results.
If OAB medications don’t work for your and you are ready to find out how to treat your OAB once and for all, don’t delay! Call 843-347-2450 today for an appointment!!