If you have failed the typical medications for frequency/ overactive bladder. You may have undergone urodynamic testing ( bladder function testing ) and cystoscopy to identify potential bladder pathology. Hopefully, your doctor has reviewed your fluid intake along with a urinary diary. Due to the severity of your symptoms the next line of therapy would be Botox bladder injections or InterStIm sacral neuromodulation. However, I have seen THERMIva be effective for milder frequency/ stress / urge incontinence to help reduce or resolve symptoms.