Middle angled couple hiking with backpacks. Female looking back at her partner.
Middle angled couple hiking with backpacks. Female looking back at her partner.
Middle angled couple hiking with backpacks. Female looking back at her partner.
Middle angled couple hiking with backpacks. Female looking back at her partner.

Learn more about bladder leaks and incontinence

If you can’t control your bladder, is it controlling you?

Close up of an all gender bathroom sign in a hall.

Are you dealing with unexpected bladder leaks, rushing to the bathroom and not always making it in time? Do you feel like you can’t enjoy time away from home? Maybe you’ve started planning outings around where the nearest restroom is, or you’ve pulled back from activities you love because of accidents.

That urgent “gotta go” feeling (the sudden, intense urge to empty your bladder even when it’s not full) is the hallmark of Urge Urinary Incontinence (UUI) and it affects people of all ages.7
UUI is a chronic condition, which means it won’t go away by itself. Left unaddressed, it can become a disabling condition with physical, psychological, and social consequences that significantly impact your quality of life.¹

Middle ages female in a kayak with her partner sitting behind her, in the middle of the lake on a calm day.

Types of bladder leaks and incontinence

Urinary incontinence (the unintentional loss of bladder control and urine leakage) affects a quarter to a third of Americans.² There are several types, with the three most common being:

  • Stress urinary incontinence: Bladder leaks triggered by physical activity (coughing, laughing, sneezing, or exercise) that increases pressure on the bladder.
  • Urge urinary incontinence (UUI): A sudden, intense urge to urinate that’s hard to ignore, often followed by involuntary leaking before you can reach the restroom.
  • Mixed incontinence: A combination of both types, most often urge and stress incontinence occurring together.

Revi® is designed for men and women with urge urinary incontinence, the most disruptive type of bladder leaking. Take the quiz to find out if you’re a candidate.

There are three main types of therapy, but each may come with its own set of challenges.

Lifestyle/Behavioral Modifications

Icon of two faces, one with a question mark and the other with an exclamation mark.

Certain day-to-day changes may help address urge urinary incontinence and reduce bladder leaks, including:
  • Dietary changes, limiting fluid intake, and reducing bladder irritants such as caffeine, alcohol, and nicotine.
  • Routine changes such as bladder training and scheduled bathroom breaks.
  • Physical therapy like pelvic muscle strengthening through Kegel exercises.
What to know

If changes are effective, people may be able to regain control without medication or repeat medical procedures. However, these changes require patience, time, and commitment.

32%

Some studies show that less than a third of people are able to stick with these changes.3,4

Prescription Options

Different types of medications may be used to help control bladder leaks and reduce the urge to go, including:
  • Bladder relaxants that block receptors in the bladder to help ease tension in the muscles.
  • In women, topical vaginal estrogen can help strengthen muscles in the urethra and vaginal area.
  • In some men, medications for an enlarged prostate (BPH) can help relieve urinary urgency by reducing the pressure the prostate places on the bladder.
What to know

Medication could be a simple daily routine for people. However, these medicines may have undesired side effects and are only effective in some patients.

>80%

of patients stop medication within 6 months due to dissatisfaction and side effects.5

Procedural Intervention

Icon of surgical instruments, scissors and scalpel.

A variety of procedures can help calm bladder urges and control leaks, such as:
  • OnabotulinumtoxinA (BOTOX®) injections to relax the bladder muscles.8
  • Neuromodulation, stimulates nerves to send signals to the bladder and calm urges.
What to know

Less invasive than traditional surgery, with potential for long-term results. However, some options require multiple procedures or ongoing in-office appointments.

Only 5%

of people with UUI have received these therapies, mainly due to lack of awareness and concerns about complications.6,9

Man excited and pointing, while grabbing a bowling ball for another round.

Revi is a simple option to relieve your symptoms and stop bladder leaks from slowing you down.

If you’re tired of planning your life around the nearest restroom or avoiding activities because of bladder accidents, Revi may be for you. Revi is a different kind of treatment. It’s implanted through a small incision near the ankle in a single procedure and doesn’t require office visits for ongoing therapy delivery. It’s a long-term solution for a long-term condition.

Two female bicyclists driving down the road, looking at each other.

Is right for you?

Two female bicyclists driving down the road, looking at each other.

References:

  1. Pizzol, D. et. al. Urinary incontinence and quality of life: a systematic review and meta analysis. Aging Clinical and Experimental Research. 2021; 33:25-35 DOI: 10.1007/s40520-020-01712-y
  2. Urology Care foundation Website Assessed June 2026: https://www.urologyhealth.org/urology-a-z/o/overactive-bladder-(oab)
  3. Carmel A, Rose M, Fruzzetti AE. Barriers and Solutions to Implementing Dialectical Behavior Therapy in a Public Behavioral Health System. Adm Policy Ment Health 2014 Sept; 41(5):608-614. DOI:10.1007/s10488-013-0504-6
  4. Enemchukwu, EA, Subak LL, Markland A. Barriers and Facilitators to Overactive Bladder Therapy Adherence. Neurourol Urodyn 2022 Nov; 41(8):1983-1992. DOI: 10.1002/nau.24936
  5. Reynolds, S et. al. The Burden of Overactive Bladder on US Public Health. Curr Bladder Dysfunct Rep 2016 Mar; 11(1): 8-13 doi: 10.1007/s11884-016-0344-9
  6. Gerig N. et. al. Do we need more patient-friendly treatment options for overactive bladder (OAB)? Neurourol Urodyn. 2021 Aug; 40(6):1433-1440. DOI: 10.1002/nau.24731
  7. Urology Care Foundation website accessed June 2026 It’s Time to Talk About Overactive Bladder (OAB) – Urology Care Foundation 
  8. BOTOX® is a registered trademark of Allergan, Inc a division of AbbVie
  9. Linder, B et. al. National Patterns of Filled Prescriptions and Third-Line Treatment Urolization for Privately Insured Women With Overactive Bladder. FemalePelvic Med & Rec Surg 2021Fe; 24(2):e261-266. DOI: 10.1097/spv.0000000000000744