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Follow these steps to find the right treatment, regain control, and live more fully and confidently.
There are many ways to manage bladder control problems. Remember, if conservative treatments don’t deliver the results you need, you have more options.
If you're experiencing the symptoms of common bladder control problems, it's time
to meet with a bladder incontinence specialist. This doctor may ask you to fill out a
symptom tracker to get a better idea of your daily experience and help confirm your
diagnosis.
Symptoms of overactive bladder (OAB) include:
Urge incontinence
Urgency-frequency
Symptoms of urinary retention* include:
Conservative treatments can help some people, but may not work very well (or at all)
for others. All of these are relatively simple behavioral changes that you may already
be doing.
When lifestyle changes fail to deliver the results you want, oral medications are the
next step. These medications can help control
issues.
You have to remember to take these medications every day. Some side effects can be
unpleasant, such as dry mouth, blurry vision, constipation, and hypertension. Other
side effects are more serious. In fact, limited study data suggests that one class of
drugs for OAB (anticholinergics) may increase risk of dementia in elderly people.1
Even more important, these medications don't always work. In one survey, 72 percent
of people said they stopped taking their medication after just six months.2
If conservative treatments don’t deliver the results you want, you have more options.
Implanting a neurostimulator has risks similar to any surgical procedure, including swelling, bruising, bleeding, and infection. Talk with your doctor about ways to minimize these risks. Complications can occur with the evaluation, including movement of the wire, technical problems with the device, and some temporary pain. Your doctor or nurse will provide you with the information regarding how to operate the test device, and inform you of other precautions related to the evaluation and activity restrictions.
Most common side effects are temporary and include mild pain or skin inflammation at or near the stimulation site.
Injected medications can temporarily treat OAB but may raise other concerns.
Bladder Control Therapy does not treat obstructive urinary retention.
Restored bladder function is defined as a measurable reduction in urinary frequency and/or urinary incontinence episodes following PTNM treatment.
Gray S, Anderson M, Dublin S et al. Cumulative Use of Strong Anticholinergics and Incident Dementia. JAMA Intern Med. 2015;175(3):401-407.
Yeaw J, Benner J, Walt JG et al. Comparing adherence and persistence across 6 chronic medication classes. J Manag Care Pharm. 2009:15(9): 724-736.