My urologist has recommended a new medication that may result in not needing Botox anymore, called Mirabegron. So far I have not had any side effects but it is still too early to tell whether it will be helpful or not.
I cannot empty my bladder voluntarily and therefore perform intermittent self-catheterisation 5 times daily. I have tried many types of catheters over the years and currently use catheters by Coloplast, which are pre-lubricated, discreet and disposable. I also take a daily low-dose antibiotic (nitrofurantoin) to prevent frequent urinary tract infections that can be common in people who self-catheterise.
Alongside FI, I have co-existing chronic, severe constipation to the point of developing faecal impactions high up in my colon. Laxatives work very unpredictably and usually lead to bowel accidents, which are understandably very distressing. I have tried the pro-kinetic drugs that have been developed more recently, with little success but am currently having good results emptying my lower bowel using the Peristeen trans-anal irrigation system. Tap water is pumped into the colon using a balloon catheter, pump and water bag & the stool is flushed out alongside the water.
I have had 2 trials of sacral nerve stimulation (SNS), which is a form of neuromodulation that aims to improve the function of the sacral nerves that control the bladder and bowel.