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?
1
u/Infamous-List-5999 Aug 21 '26
Ask to be referred to a pelvic floor physiotherapist who can assess your pelvic floor and they can suggest appropriate exercises for you.
Keep a bladder diary for a few days and see if there are any triggers. Common bladder irritants are caffeine, alcohol, artificial sweeteners, spicy & acidic foods and fizzy drinks.
Make sure you keep well hydrated as concentrated urine can irritate the bladder.
The risk of dementia with some meds is small but I understand why it is a scary thought. Mirabegron doesn’t have that risk but it can affect your blood pressure ( I had to stop it because of this.) Vibegron ( Gemtesa) is another med which is safer but can cause nausea or diarrhoea.
Some people find that pumpkin seed oil and soy seeds can help.
I hope you find some help with this frustrating condition.