Medications ‑ Numerous prescription drugs can help relieve urinary urgency, frequency, and urge incontinence by relaxing the bladder muscle, which increases its capacity. Some examples include Myrbetriq, Ditropan XL, Detrol LA, Vesicare, Sanctura, Oxytrol, and Enablex.
Sacral Nerve Stimulation — This neuromodulation therapy involves the electrical stimulation of the sacral nerves, which affect bladder function. The therapy does not work for everyone, so a test phase is needed to see if you are a candidate for the procedure. If testing is successful, the permanent device, similar to a pacemaker, is implanted in the upper buttock. A thin wire connects the device with the nerves that control the bladder reflexes and electrically stimulates the nerves.
Posterior Tibial Nerve Stimulation (PTNS) — This is another form of neuromodulation in which a small acupuncture needle is placed behind the ankle bone and next to the tibial nerve, which carries signals to the sacral nerves. The needle is electrically stimulated for about half an hour, then removed. This office procedure will be repeated weekly for 3 months. If successful, longer intervals between stimulation may be possible.
Botox Injections ‑ Botox blocks the release of nerve chemicals (neurotransmitters), which cause muscles to contract. When injected into the bladder muscle, Botox temporarily weakens the muscle contractions that are causing urge incontinence. The procedure takes about 10 minutes or less and is done in the office. The benefits of Botox injections last about 6 months.