I’m struggling with overactive bladder and need advice

Posted by redsox2026 @redsox2026, 1 day ago

My overactive bladder started causing problems 2 years ago. I’ve gone through prescriptions with no luck. I’ve tried Botox shots which have been the only thing that was helping but it’s not 100 percent. I don’t want to wear overnight briefs but at the same time I could randomly have an accident any time?

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@redsox2026 Welcome to Mayo Clinic Connect. I’m sorry you’ve had to struggle with prescriptions for overactive bladder. Do you also have an incontinence problem? There is a slight difference. As I understand it overactive bladder means that you have to spend a lot of time using the restroom. Incontinence means you don’t get there in time and have urinary accidents. Is it just a nighttime thing or anytime? I have fought incontinence for as long as I can remember. At least with using some kind of protective garments (Depends etc) I have less to worry about when the inevitable accidents occur. There is a cost but most are discrete. It saves my clothing, bedding, furniture and self esteem!

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I too have struggled with overactive bladder. I’ve gone through all the steps and then I had an Inerstim implant by Medtronic. It improved by trips to the bathroom by 50%. Maybe see if you are a candidate for this.

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@redsox2026 Welcome to Mayo Clinic Connect. I’m sorry you’ve had to struggle with prescriptions for overactive bladder. Do you also have an incontinence problem? There is a slight difference. As I understand it overactive bladder means that you have to spend a lot of time using the restroom. Incontinence means you don’t get there in time and have urinary accidents. Is it just a nighttime thing or anytime? I have fought incontinence for as long as I can remember. At least with using some kind of protective garments (Depends etc) I have less to worry about when the inevitable accidents occur. There is a cost but most are discrete. It saves my clothing, bedding, furniture and self esteem!

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@cehunt57 I have a severely overactive bladder. During the day I can have urgency issues if I’m not close to a bathroom. At night I’m prone to wetting the bed. I have ADHD, sleep apnea and OAB so it’s hard to pin down a cause, it’s like a perfect storm type thing. My urologist and wife want me to wear protective garments during the wear off period of the Botox shot. I’ve done the shot 2 times and both times it worked perfectly but it wears off between month 4-6 and it happens fast so it’s tough to get the appointment for the shot lined up at the same time it wears off. They call this the Botox gap.

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