Overactive Bladder Treatments
Following are available treatments at Tower Urology for Overactive Bladder
• BOTOX® is injected into the bladder muscle:
− targeting the source of your Overactive Bladder.
− beginning to reduce daily leakage episodes after just 2 weeks.
• One BOTOX® treatment for OAB can last up to 6 months. Talk to your doctor about your re-treatment timing, waiting at least 3 months between treatments.
• In clinical trials, at week 12, adults using BOTOX® reduced their average number of daily leakage episodes by about half.
Ask your Urologist or Urogynecologist if BOTOX® can help Calm Your Bladder
to significantly reduce your daily leakage episodes.
In your body, certain chemicals travel from nerve cells to muscle cells to make your bladder contract so that you can urinate. With OAB, these muscles contract uncontrollably, creating leakage, the strong sudden need to go, and going too often. BOTOX® is injected into the bladder muscle and works on the nerves to help block the signals that trigger OAB, which helps:
• Reduce daily leakage episodes.
• Treat the strong need to urinate right away.
• Reduce the number of times that you need to empty your bladder daily.
Talk to your doctor about your re-treatment timing, waiting at least 3 months between treatments.
At week 12, many of these patients saw their daily leakage episodes reduced by half or more following BOTOX® treatment.*
- The majority of patients receiving BOTOX® had at least 50% reduction of daily leakage episodes.
- Most of these patients reduced their leakage episodes by 75%.
- Approximately 1 in 4 of them reported they were experiencing no leakage episodes.
In clinical trials, one BOTOX® treatment provided symptom improvement for up to 6 months. Your doctor will work with you to develop a re-treatment plan.
Based on results of a questionnaire* completed by patients in the BOTOX® clinical trials, patients on BOTOX® reported improvement in their overall quality of life. This questionnaire asked patients to consider three specific categories that are commonly important to people living with Overactive Bladder:
- Avoidance and Limiting Behavior Such as overplanning every detail of your day in advance. Including worrying about where bathrooms are and/or limiting how much fluid you drink.
- Psychosocial Impact Such as being preoccupied or frustrated with how your condition impacts your everyday decisions, such as what you can wear, where you can go, and how you feel about your overall well-being.
- Social Embarrassment Such as being embarrassed or worried that your symptoms might be noticed by others.
Once you and your doctor decide that BOTOX® is right for you, very often it can be administered in your Urologist’s or Urogynecologist’s office.
Before your treatment day:
• Your doctor will prescribe an antibiotic to prevent against a urinary tract infection.
On the treatment day:
• Your doctor will numb your bladder for a more comfortable treatment.
• Once your bladder is numb, a small lighted tube called a cystoscope will be inserted through the urethra (the natural opening where the urine comes out).
• BOTOX® is injected through the cystoscope into multiple areas of your bladder muscle.
• The entire process takes approximately one hour: 30 minutes to prepare and administer the BOTOX® and 30 minutes for post-procedure evaluation.
2. Urgent PC
Non-drug, Non-surgical Treatment for Overactive Bladder
What is Urgent PC?
Since 2003, healthcare professionals have used the Urgent PC Neuromodulation System to treat overactive bladder and associated symptoms of urinary urgency, urinary frequency and urge incontinence. Talk to your clinician to learn more about these symptoms.
The Urgent PC Neuromodulation System is a combination of a hand-held stimulator, thin needle electrode and a lead set. The stimulator generates electrical impulses that are delivered to the patient through the lead set.
Because Urgent PC gently modifies the signals to achieve bladder control, it usually takes 5-7 weeks for symptoms to change. However, patients respond at different rates. In a review of about 100 patients who had success with Urgent PC, symptoms improved anywhere between 2-12 weeks. For about 20% of these patients, the symptoms of urgency and/or urge incontinence didn’t improve until after 8 weeks. 1
There is no way to anticipate who will respond earlier, later or not at all. That’s why it is important to receive the 12 recommended treatments before you and your physician evaluate whether this therapy is an appropriate and effective choice for you.
Yes, these include: patients with pacemakers or implantable defibrillators, patients prone to excessive bleeding, patients with nerve damage that could impact either percutaneous tibial nerve or pelvic floor function and patients who are pregnant or planning to become pregnant during the duration of the treatment.