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I’ve tried meds and Botox. Now I’m in the middle of CTNS therapy and not impressed yet. Have 6 more sessions
If this doesn’t work I’m considering the implant.

March 21, 2025
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MyMSTeam

While Botox injections can be effective for 3-5 months for bladder control in MS, it's understandable to explore other options if you're not getting the desired results. InterStim Therapy is one surgical option that involves implanting a small device that stimulates the nerves to help control bladder movements.

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While Botox injections can be effective for 3-5 months for bladder control in MS, it's understandable to explore other options if you're not getting the desired results. InterStim Therapy is one surgical option that involves implanting a small device that stimulates the nerves to help control bladder movements.

Before considering surgery, you might want to explore other non-surgical approaches like pelvic floor physical therapy, which has shown positive results for many people with MS in managing bladder symptoms. Some find success with intermittent self-catheterization as another management option. Various nerve stimulation techniques are available that may help provide better bladder control. These include neuromuscular electrical stimulation to strengthen the muscles around the bladder, and tibial nerve stimulation. These treatments are non-invasive and have shown effectiveness, particularly when combined with pelvic floor exercises. Since you're currently trying nerve stimulation therapy, completing your remaining sessions could help determine if this less invasive approach might work for you before moving forward with an implant.

March 21, 2025

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