This is not a fantasy/enjoyment thread. I've had the very best medical care and advice and this is written to genuinely help anyone that gets and wants to stop urgency/frequency aka an overactive bladder. If you have it, you'll know there's nothing at all fun about it. For anyone with a normal bladder, think about the time you most urgently, desperately needed to pee, but could not. Then triple it. Now that's what a seriously overactive bladder is. You need to go so bad that can't think, you sweat, you cross your toes, your buttocks even start trembling. You feel like driving your fingernails into your hands until you can finally let go.
Even if you enjoy wearing diapers occasionally or even regularly, as I do, that's no fun.
I had a very overactive bladder and genuinely wanted to stop it. I was occasionally incontinent. Normal medical referral chain: GP to a continence nurse to a bladder specialist urologist. Generally excellent level of care from real professionals with the NHS here in UK. Started bladder training and pelvic floor exercises done properly and seriously for a year. Almost no effect other than the benefits of controlling booze, caffeine etc. Then onto the antichologenic drugs: detrusitol, detrunorm, vesicare (better) then toviaz (best for me) but faily limited success. Also tried PNE (neuromodulation) with the electronic box of tricks like an ipod connected to your nerves in your spine. It would seem that my very overactive bladder was too volcanic to be tamed. Then botox. Up to a 1/3 chance of having to catheterise multiple times a day as a result of partly paralyzing your bladder nerves...oh dear that doesn't sound good. But the bladder was misbehaving so badly I thought, reluctantly I'd take the risk.
Hospital, in and out in a day, botox injected by a surgeon whilst I was under general. Hurt to pee for three hours but fine. The bad news...I do have to catheterise myself...almost every time I pee. Is it a pain...hell yes...Am I paranoid about not bringing the caths with me wherever I go, absolutely. DOes it hurt, no. It's also v easy and quick when you are used to it. But the good news. no more urgency/frequency, and almost everyone has the same result, with 70% not even needing to cath. What a relief. The lovely NHS sort the caths out on prescription (you pay a small amount) and they are delivered to your door. They are small and easy to put in a pocket.
If you have bad urgency frequency and want to end it, try the drugs etc, but if they don't work, do the botox...it really really works and honestly completely changed everything for me. There's no real knowledge on long term side-effects, which I don't like, but it's been used in other parts of the anatomy (admittedly less sensitive) for many years without serious mishap.
So my advice if you follow the above is go for it. Any comments welcome. Really hope you get the result you want..you almost surely will if you go this route. HM