Studies suggest OAB symptoms are under-reported and often inadequately treated. This may be because people feel embarrassed, view the symptoms as an inevitable result of child birth or ageing, assume there are no effective treatments available, fear treatment or there may be a lack of communication between people and their doctors.

Your GP can assess your condition and importantly provide you with a referral to a specialist Urologist, Urogynaecologist or Gynaecologist who can diagnose and provide you with an overview of appropriate treatment options depending on the severity of your bladder problems.

If you are embarrassed to speak to your GP about overactive bladder take the questionnaire on this website and use it as a conversation starter for your appointment



Stop letting the symptoms of overactive bladder disrupt your life, remember it is a largely treatable condition. Many people with OAB suffer for a period of months or even years before seeing a doctor. Don’t delay seeing your healthcare professional.

General Treatments

Lifestyle changes & behavioural training

At first, your doctor will start with a combination of lifestyle interventions and behavioural modifications such as altering fluid intake, avoiding alcohol, caffeine, bladder training and pelvic floor exercises. A continence therapist such as a specialised nurse or physiotherapist can assist with this aspect of treatment. For more information on these therapies, please visit The Continence Foundation of Australia.


There are several medications available for OAB, with anticholinergics most commonly prescribed. These can be prescribed by your GP or a Specialist and are often added if the initial measures fail to treat the symptoms. Sometimes these medications do not work or are not well tolerated. Often this leads to people choosing to stop taking their medication within the first year.

Special Treatments


Your Urologist, Urogynaecologist or Gynaecologist may be trained to inject medication into your bladder via a cystoscope to help relax and calm the bladder muscle, which minimises sudden contraction and reduces leakage episodes.


Neuromodulation involves an implanted device which generates mild electrical pulses to regulate the nerves that control the bladder and the muscles related to urination. It helps the brain to communicate with the nerves of the bladder to help the bladder function more normally.


In rare cases, bladder augmentation may be considered for severe cases of OAB. This type of treatment is usually as a last resort, when people with severe incontinence have not responded to other treatments.

Video Diary

Here is a video diary from a person’s perspective on life with OAB and tips for kick starting a conversation about overactive bladder.

OAB Fiona’s Story

  • What were the symptoms you experienced?
  • What is the biggest challenge you face in managing your condition?
  • What are some of the difficult situations you have faced?
  • Prior to receiving treatment, how many days would you go without pads?
  • What was it that prompted you to first mention your condition to your GP?
  • When were you diagnosed with overactive bladder?
  • What was the first treatment you received from your urologist?
  • How has the diagnosis impacted your life?
  • What message do you have for people newly diagnosed with overactive bladder?
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