Choosing Treatment for Urinary Urgency

The Urgency Treatment Ladder. The ladder groups options, not mandatory treatment stages; shared selection can include a procedure without prior behavioral or medication trials. Labels: Confirm diagnosis and safe emptying; Trigger, fluid, and bowel management; Bladder training; Pelvic-floor therapy matched to findings; Medication; Tibial or sacral neuromodulation; Intradetrusor botulinum toxin; Infection, obstruction, neurologic disease, or another diagnosis.