Overactive Bladder Medication Isn’t Working: Next Steps

Many people struggle with an overactive bladder. They optimistically begin treatment with medications, but they eventually find that the meds no longer work as well as they did in the beginning. In addition, the unpleasant side effects almost make it not worth taking the medication. So what do you do when overactive bladder medication isn’t working? Explore next steps.

You Don’t Give Up

You may be disappointed that the meds you thought would help no longer do. You don’t have to spend the rest of your life scoping out bathrooms. There are other options.

If you haven’t attempted any lifestyle changes, maybe rethink this option.

• Keep track of the fluids that give you the biggest problem. Remove them from your everyday life, or don’t drink them before bedtime. Maybe it’s your morning coffee, so reduce the amount of cups you have.
• Be sure you have completely emptied your bladder each time you urinate. Wait 30 seconds after going, then try again. You may be surprised by how much is still left in your bladder.
• Watch your weight. Remember you were going to lose a few pounds, but never did. The excess weight puts pressure on your bladder.
• Take up Kegel exercises.

Ask Louisiana Healthcare Associates Urology Division what else you can do or change in your everyday life.

Other Options

There are several other treatments you can try instead of medication.

Botox injections are another treatment that works for many people with OAB. You know that it smooths wrinkles, but just as it can freeze muscles in your face, it can do the same for your bladder. Injected into your bladder muscle, it can reduce contractions, and it can last for up to one year. Talk with Louisiana Healthcare Associates Urology Division about any possible side effects.

A pessary is another option for women. It is inserted into the vagina, and this small medical device is especially helpful for those who have bladder prolapse.

Sacral Neuromodulation is a scary-sounding treatment, but it acts like a pacemaker for your bladder. The device is played under your skin in your lower back. It stimulates the sacral nerve which controls bladder and bowel functions.

Surgery is a last resort. It is performed to reduce pressure on the bladder and improve its ability to store urine.

If your meds have stopped working, don’t give up.