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Ask The Doc: Medication Alternatives

Is there anything else besides medication to treat OAB?

Answer: You are right to seek out other treatments besides medication. For some people,
incontinence medication can have side effects such as dry mouth, constipation, dry eyes,
urinary tract infections and cognitive impairment (anticholinergics) and/or can get expensive
depending on insurance. Luckily, there are some other options.

Modifying diet and behavior: LOW risk. Most doctors recommend this as a first-line treatment.

Tibial nerve stimulation: LOW risk. This is one type of neuromodulation which uses secondary nerves in your leg which runs up to the primary nerves in the pelvis. The aim is to calm down the overactive bladder electrically, instead of chemically from medication. Whether with a patch or needles, this often requires weekly office visits for 12 weeks.

Sacral nerve stimulation: High risk. An implant is implanted into the lower back with wire leads
that are positioned near the sacral nerves. This neuromodulation is usually continuous and
affects the primary nerves directly. There are two main manufacturers, Medtronics and Axonics, which can have good success for those that respond well in the initial test (responders).

Botox: LOW-Med risk. Injection by Allergan of the toxin to “freeze” the contracting bladders.
This injection is done through a scope that is inserted into your urethra in a doctor’s office.

External direct stimulation: LOW risk. A brand-new external neuromodulation called Elitone
URGE marries the efficacy of direct stimulation (like the implants), without the nerve-fatigue and
riskiness of implants. It’s wearable electrodes are worn underneath clothes so it doesn’t take up
time and is more convenient than PTNS, while the efficacy is similar to other neuromodulation.

Sources: Rosetta Trial data: Amundsen CL, Komesu YM, et al; Pelvic Floor Disorders Network. Two-Year Outcomes of Sacral Neuromodulation Versus OnabotulinumtoxinA for Refractory Urgency Urinary Incontinence: A Randomized Trial. Eur Urol. 2018 Jul; 74(1):66-73. Jurol 2013 Jan; 189(1):210-6. Cost of neuromodulation therapies for overactive bladder: percutaneous tibial nerve stimulation versus sacral nerve stimulation Juro 2012.08.085.

About the author: Gloria Kolb, CoFounder and CEO

Say good-bye to leaks and pads and hello to confidence! Elitone® is the only FDA-cleared treatment for stress, mixed and urge incontinence. As an external, wearable treatment, it’s the easiest and most effective thing you can do to get back to a regaining control of bladder leaks.  Go to www.elitone.com and use code NAFC24 for $25 off. 

Ask The Doc - NAFC Logo.The NAFC Ask The Doc series provides answers to some of our reader’s most common questions from a group of experts in the fields of urology, pelvic floor health, bowel health, and absorbent products. Do you have a question you’d like answered? Click here to Ask The Doc!

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Medicaid is the nation’s public health insurance program designed for individuals and families who may be low-income, elderly, or disabled. The Medicaid program covers more than 1 in 5 Americans, including many with complex and costly needs for care. With over 74 million Americans relying on Medicaid, it is the largest single source of health coverage in the U.S. The program ensures that qualifying individuals can access medically necessary products, including incontinence supplies, urological supplies, and other medical necessities, as well as healthcare and long-term care services.

Urinary incontinence is a prevalent condition that impacts over 25 million people in the U.S., including more than half of all seniors. Managing incontinence can be challenging, especially for those on a limited income, as the cost of incontinence briefs, underpads, and other bladder control supplies can quickly add up.

Fortunately, for many individuals on Medicaid, coverage is available for the medical supplies needed to effectively manage incontinence, provided there is a qualifying medical diagnosis. This coverage ensures that individuals receive the necessary products to maintain their health and quality of life.

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Comfort Meets Confidence: Washable Incontinence Underwear Designed for Men

When it comes to bladder leaks, most men are familiar with disposable pads or guards. They’re the go-to solution—widely available, easy to use, and instantly replaceable. But what if there were a better option?

What many don’t realize is that washable incontinence underwear has come a long way. Thanks to innovations in fabric technology and thoughtful design, today’s washable options offer dependable protection in a form that looks and feels like regular underwear—without the drawbacks of disposables.