Dr. Ryan Malone | M.D.
Overactive bladder affects millions of Americans. Traditionally, this condition has been treated with behavioral and diet modification followed by medication. There are a number of competitor medications for this condition due to its prevalence. Only 15% of medications are refilled at 1 year due to side effects or cost. The most common side effects are dry mouth and constipation. A new medication has recently come to market that does not share these same side effects. Most patients are able to be managed by medication therapy alone. When medical therapy fails, patients become frustrated and are not aware of other options. Sacral neuromodulation is a therapy often employed in these cases. A simple test can confirm whether or not this is the right choice. Botox injection in the bladder muscle is another option. Either of these should be explored in those patients where medication is not adequate. This can be either from a lack of effectiveness or poor tolerance of the side effects. If you find yourself to be in this situation your physician can help direct you in your treatment options and the specifics related to each.