Treatment for Overactive Bladder

I have already tried Detrol and Ditropan.  Each one for two weeks.  They didn't help my problem at all.  I am now on Sanctura . . been on it for less than two weeks.  I stopped all caffeine drinks about a week ago.  I don't know if the Sanctura is helping my problem, or the lack of caffeine in my diet.  But, I've been somewhat better.  I still have some urgency at times, and I'm ok until I lift heavy packages or bear down to have a bowel movement.  Then I feel pressure in the pelvic area, and I feel as if I have to urinate all the time.
This is so complicated . . what can I do to feel better all he time?  Will this overactive bladder ever get better?  Do I have to take medication for the rest of my life?
Please let me hear from someone who can answer my questions.

Thank you . . .

[Lennox Hoyte, M.D.]

The OAB medications should work if you take them consistently for 4 weeks or more. If the problem persists, consider evaluation by a pelvic floor physical therapist. Sometimes pelvic floor muscle spasms can cause you to feel pressure and a strong need to urinate.  A qualified pelvic floor physical therapist can help you cure the muscle spasms, which can often reduce your feelings of urinary urgency and pelvic pressure.

Dr.Hoyte

[GarnetSullivan]

Thank you so much for your response . . I will speak to my Urologist about a pelvic floor physical therapist.
Sanctura finally kicked in after four or five weeks.  Still have some flare ups.  I have a feeling some may be due to stress.  I also agree with you regarding pelvic floor spasms.

Thanx again . .