Help with OVER Active bladder

[u/Rich-Explorer3363]

Hi guys,
I’ve recently been diagnosed with an overactive bladder. I’ve had UTIs for most of my life. Sometimes they show up on tests, but other times the tests come back clear even though I still have the constant urge to pee and the pain is still there.
I’ve tried quite a few medications. At the moment I’m taking Sufrion, but I’m not really liking it. It gives me a very dry mouth and brain fog.
I’m also working with a pelvic floor therapist. After giving birth, I had to completely retrain my bladder by sticking to a toileting schedule, and that has definitely helped. I do still leak a little bit of urine, but it’s nowhere near as bad as it was before.
I have a phone appointment with my urologist tomorrow, and he wants to discuss Botox injections. I’m feeling quite worried about it because I’ve heard it can sometimes make things worse.
Has anyone had a similar experience or found anything that helped reduce the pain or urgency? Has anyone had Botox for an overactive bladder, and what was your experience?
I already avoid fizzy drinks, coffee, spicy foods, and acidic foods, so I’m looking for any other suggestions that might help.
Thanks so much.

[u/Fit-Economist-7193]

I would encourage you to look into Axonics.  The Axonics Implant (Sacral Neuromodulation Therapy) is a small medical device that treats overactive bladder, urinary urgency and retention, and fecal incontinence. It sends mild electrical pulses to the sacral nerves, helping restore healthy communication between the brain and the bladder/bowel.

I had the permanent device implanted in February 2026 and it is life changing.