Treatment Options for OAB

When it comes to treating the symptoms of OAB, there are a number of treatment options that can help you manage symptoms and improve your daily lifestyle.

Because there is no one-size-fits-all treatment, your physician may recommend a single treatment, or even two or more at the same time. Depending on your individual needs, your doctor may also use a combination of lifestyle changes and medication therapy, which often results in greater success for symptom management. Surgical options may also be discussed for treating more advanced cases of OAB.

View Our OAB Treatment Pathway


First Line Therapies – Physical Therapy and Lifestyle Modifications

Your doctor may suggest physical therapy or making changes to your everyday lifestyle as the first line of treatment for your OAB symptoms. While this type of behavior therapy may not alleviate all of your OAB symptoms, it can minimize them. 

Physical Therapy

The goal of physical therapy for treating OAB symptoms is to decrease urinary urgency and improve the coordination between the bladder and pelvic floor muscles for improved urinary control. Your physical therapist will perform a comprehensive internal and external exam of the pelvic floor muscles. Depending on your diagnosis and symptoms, the physical therapist will determine which of the following is the best course of action:

  • PTPelvic floor muscle exercises/biofeedback – Pelvic floor exercises can help prevent urine leakage by strengthening the pelvic floor and sphincter muscles. Your physical therapist will show you how to perform these exercises to promote muscle strengthening, relaxation and coordination. Biofeedback can help determine if you are exercising the right pelvic muscles in the correct way.

  • Bladder training or delayed voiding – This involves controlling the urge to urinate by waiting a few extra minutes after you feel the urge at first, and then gradually increasing the time between bathroom visits. Our physical therapists work with you on bladder training exercises for optimal results.

  • Timed urination – You follow a set schedule for going to the bathroom. Instead of going when you feel the urge, you train yourself, and your bladder, to go at the scheduled time of day. Your physical therapist will determine if this is right for you.

  • Behavior modification – The physical therapist may recommend utilizing behavior modification to retrain your urinary system. Going to the bathroom frequently, and not just when the “gotta go” feeling strikes, is important for retraining your system.

Lifestyle Modifications to Help Improve OAB Symptoms

  • Fluid and diet management – Limit or eliminate foods and drinks that may irritate the bladder such as caffeine, artificial sweeteners, chocolate, alcohol, certain sodas, citrus, and acidic and spicy foods.

  • Keep a bladder diary – Keep track of when and how often you go to the bathroom to urinate to help your doctor better understand your OAB symptoms.

  • Absorbent incontinence pads – Absorbent pads made specifically for urinary incontinence can protect your clothing and keep you dry, helping you avoid embarrassing incidents if you do experience incontinence during social situations or activities.

Learn more about additional therapies for OAB including:

Medication therapy

Bladder injections (Botox)

Neuromodulation therapy