Bladder Botox & Nerve Stimulation for Overactive Bladder
Third-line therapies for urgency and urge incontinence that persist despite medication — most are done right in the office.
Bladder Botox and nerve stimulation
When lifestyle changes and medication do not control overactive bladder — or the side effects are not tolerable — two well-proven office therapies are available.
Bladder Botox (onabotulinumtoxinA)
Under local anesthesia and using a cystoscope, a small amount of Botox is injected into the bladder muscle to calm involuntary contractions. Relief begins within one to two weeks and typically lasts six to nine months, after which the treatment can be repeated.
Nerve stimulation (neuromodulation)
- Percutaneous tibial nerve stimulation — a thin needle electrode near the ankle delivers gentle stimulation for 30 minutes weekly for 12 weeks, retraining the nerves that control the bladder
- Sacral neuromodulation (such as Axonics® Therapy) — a small implanted device, similar to a pacemaker, continuously modulates bladder and bowel nerve signals; a test phase confirms benefit before the permanent implant
Dr. Sosenko helps patients decide between these options based on symptoms, other conditions, and preference — and follows up to make sure the treatment is working.
Patient education
Learn more about Axonics® Therapy
The information below is provided by the device manufacturer. Dr. Sosenko will discuss whether this treatment is appropriate for you.
This page is general patient education and is not a substitute for a visit. Every patient is different — Dr. Sosenko will review your history, examination, and test results before recommending treatment.