Editing Functional: Overactive Bladder (section)

=== Surgical ===
* If conservative and medical therapies fail to control symptoms and the patient requires further treatment, invasive urodynamics is then performed to confirm DO and/or detrusor overactivity incontinence, and minimally invasive surgery, where indicated and available is offered.
* Options:
** Intradetrusor injections of botulinum toxin-A
** Percutaneous sacral nerve stimulation
** Percutaneous tibial nerve stimulation.
** Other options include augmentation cystoplasty, in its various forms, or an ileal conduit with or without a subtotal cystectomy. In adults, augmentation is no longer recommended for the treatment of detrusor overactivity because the long-term success of this procedure is not high.