Initial treatments for overactive bladder include behavior and lifestyle modification along with pelvic muscle exercises. If these are unsuccessful medications can be used. The traditional medicines are anticholinergic meds that block bladder contractions but sometimes have side effects, especially dry mouth. Myrbetriq is a new medication that works differently to help the bladder muscle relax. It also seems to have less side effects.
If behavioral treatments and medications are not helpful, newer third line treatments include Botox injections into the bladder, percutaneous tibial nerve stimulation ( PTNS ) and sacro-neuromodulation ( SNM ). Botox blocks bladder muscle contractions, while PTNS and SNM use electrical pulses to block abnormal impulses to the bladder.
Written by Dr. J. Chris Portera, MD
Gynecology, Urogynecology, Reconstructive Pelvic Surgery in Chattanooga, TN
These additional resources will help you better understand OAB and the treatment options available: