urge issues

[Dancing Queen]

I suffer with stress incontinence and had TVT in 2011. The stress continence is much better but I now get urge issues. I was put on some tablets by my doctor but I was having side-effects so I stopped taking them. What other options are open to me? Is this treatment a possibility?

[Mr Mohammed Belal]

Developing an overactive bladder after TVT can occur in at least 10% of patients in patients without prior urgency . If the initial medication has failed (presumedly anticholinergics) then a beta 3 agonist can be tried. After failure of lifestyle interventions and medications, intradetrusor botox and sacral neuromodulation (SNM) can be considered. In your case, SNM can be an option to try.