--behavioural therapy - education (timed voiding, pelvic msc training, etc)
--med
- antimuscarinics to prevent contractions
- β3 agonist for relaxation
--if refractory, surgery
- botox - prevents exocytosis + release of neurotransmitters (for neurogenic detrusor overactivity); can have increased retention which is problem for older pt's
- permanent implant - stimulates & modulates nn
- bladder augmentation (reconstruction) - increase capacity of bladder + decrease pressure of bladder (use ileum)