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Clinical Treatments for Overactive Bladder

Clinical Treatments for Overactive Bladder

You’ve tried everything to prevent an overactive bladder, but you’re still experiencing embarrassing leaks that interfere with your life. You strengthen your pelvic floor muscles through exercises such as Kegel, but they aren’t enough to completely resolve the issue. Don’t worry – other treatments may be more effective. Clinically proven remedies such as Botox injections or surgeries can reduce symptoms of an overactive bladder. Review your possible treatment options at Charlotte Center for Pelvic Health below.

Nerve Stimulation Therapies

Nerve stimulation is one of the most popular remedies for an overactive bladder, because it does not require surgeries. Non-invasive or minimally invasive treatments can stimulate the nerves in ways that strengthen the bladder and other parts of the body to treat overactive bladder and related symptoms, such as urinary incontinence. The following are three of many options for nerve stimulation treatments:

  • Emsella. Emsella is an FDA-approved treatment for urinary incontinence. Treatments last 30 minutes, are non-invasive, and patients can keep their clothes on. Emsella treatments involve patients sitting on a chair while high-intensity electromagnetic technology stimulates the muscles in the pelvic floor to help restore neuromuscular control. One 30-minute session is the equivalent to performing 11,200 Kegel exercises!
  • MonaLisa Touch. MonaLisa Touch treatments for overactive bladders and incontinence involves a minimally invasive procedure that gently activates the tissues of the vaginal mucosa to stimulate more collagen production. Regenerating the tissues and restoring proper trophic balance can help improve the functionality of your intimate parts. MonaLisa Touch has minimal downtime and does not require a hospital stay.
  • Geneveve. Geneveve is a painless, nonsurgical procedure that treats vaginal laxity and urinary incontinence. It uses a cooling sensation (cryo) to active collagen production and tighten vaginal tissues on a cellular level. This in turn can reduce urinary incontinence and help with symptoms of an overactive bladder. Most patients only require one Geneveve treatment.

The Charlotte Center for Pelvic Health offers all three of these treatments, as well as others designed to treat overactive bladders and symptoms. You can learn more about these simple and effective treatments and decide which might be right for you with help from one of our knowledgeable pelvic health professionals.

Bladder Injections and Surgeries

If nerve stimulation isn’t enough to reduce your overactive bladder symptoms, take your pelvic health a step farther with bladder injections and/or surgeries. Botox injections directly into the bladder tissues can partially paralyze the muscles, giving the patient better bladder control in cases involving severe urge incontinence. Studies have proven Botox is an effective treatment for many patients with overactive bladders. However, you will need to receive the injection about every six months for continuous effects. 

Bladder surgery might be the best choice for the most severe cases. If you’re experiencing extreme urinary incontinence because of an overactive bladder and other treatments don’t work, consider surgical interventions such as increasing the size of your bladder or removing the bladder completely, replacing it with a neobladder or stoma. Surgical treatments should only be an option if more conservative remedies don’t work. Schedule an appointment to discuss overactive bladder treatments in Charlotte today. 



Dr. John Hettiarachchi, FACS FPMRS

Dr. John Hettiarachchi, FACS FPMRS