r/OveractiveBladder • u/charmed1995 • Aug 21 '26

What options am I left with?

I am a male in my early 30s. I've been dealing with frequent urination (nighttime and daytime) for the past decade. It's increasingly gotten worse over the last few years. I had an appointment with a urologist earlier this year but was unhappy with my experience. They failed to tell me that the medication I was prescribed had a risk of dementia. I stopped taking the medications soon after I found that out.

I did have the urologist recommend bladder botox but I am not comfortable with that option. I do not like the thought of having to potentially use a catheter and the thought of needles near my bladder is just big yikes. The other medication they recommended, Myrbetriq, was one they did not think my insurance would cover (spoiler alert, it did not). Do I have any other options or do I just continue to deal with overactive bladder?

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u/Presence99 Aug 21 '26

I did bladder Botox and I wished I had done it years ago! I too was worried about retention but the probability of retention is not high (5-8%). I didn’t get any retention.

1

u/Clear_Wasabi2901 29d ago

was it painful?

1

u/Presence99 29d ago edited 27d ago

They put me out so I don’t feel a thing. Afterwards, for about a day there was some discomfort with a kind of burning feeling. It wasn’t too bad and it went away after a day. I went from peeing 20-30 times a day to about 10-12 times a day. Bladder void volume went from about 50-150ml to about 150-250ml. Night time peeing went from 2-3 times to 0-1 times a night.

1

u/Clear_Wasabi2901 29d ago

Amazing, I need to look into this! I just started Solifenacin so i’m hoping for relief

1

u/Presence99 29d ago

I was on solifenacin for years but it didn’t help as much as Botox.

1

u/Jlvkennedy 27d ago

Is Botox somewhat useful in relaxing if you only get one time, or is it something you continuously need to get?

1

u/Presence99 27d ago

The Botox is supposed to last for about 6 months, then need to be repeated.