If lifestyle management and/or medications fail, don’t give up hope. There are still several options to help with more severe cases of OAB. If you need them, your doctor will refer you to a specialist to discuss your options in more detail.
Sacral Nerve Stimulation (SNS) or Sacral Neuro-Modulation (SNM)
A small device is implanted under the skin and uses mild electrical impulses to stimulate the nerves of the lower back (the sacral nerves).
These impulses can correct the signals to your bladder that may be causing your OAB symptoms.
Botulinum toxin A is injected into the bladder muscle, causing the muscle to relax and help the bladder increase its ability to hold more urine.
The effect of the injections usually lasts for up to six months before the procedure may need to be repeated.
In rare cases, surgery may be considered for severe case of OAB where other treatments have failed.