If medication or other treatment options have not put an end to your problem, then you may need to consider surgery as a next step. Some effective types of surgical treatments for OAB include the following:
Sacral Nerve Stimulation
Sacral nerve stimulation, which is also referred to as sacral nerve modulation, is basically a procedure that manages and regulates nerve impulses sent to your bladder. During the course of the surgery, your surgeon implants a very small pulse generator underneath the skin of your lower abdomen or buttocks. The device will correct all misfired signals and will send them towards the nerves that control your bladder. This pulse generator can remain there indefinitely. There can be negative reactions to this treatment, which may require repeat surgeries in the future.
Augmentation cystoplasty increases the size of your bladder, in case the other surgical options are not working. In this surgery, your surgeon will take a piece of tissue from inside your intestine and add it to the walls of your bladder. This will give your bladder the space to store more urine. You recover from surgery, you should able to urinate normally.
This treatment is used as a means to alter the route of your ureters. Your ureters, or the tubes that are responsible for connecting the bladder with the kidney, are rerouted in this procedure to completely bypass the bladder. The ureters will then lead to an ostomy bag that you will wear outside your abdomen. The bag is easy to wear and you can still participate in numerous physical activities after wearing it.
While you do not require a bladder to live, your doctor or surgeon may identify the implications of removing your bladder and will only do so if there is no other surgical option available. This method of surgery is only viable when there are no other means to provide relief. Your bladder will be completely removed through this surgery, and the flow of urine from your kidneys will be rerouted to outside your body. The urine will then gather inside an ostomy bag, which will be placed near your abdomen.