It may be that the feeling of needing to avoid never leaves you. This is caused by an over-excitation of the nerves related to the bladder. It may be related to a previous infection in the bladder or may have no known cause, making treatment very difficult.
This can be treated with pelvic floor rehabilitation, education, pacing and more advanced techniques such as shockwave therapy and percutaneous tibial nerve stimulation (PTNS).
PTNS is an evidence based therapy involving the placement of needles into the feet and shins and delivering a small stimulus. This rehabilitates the nerves closely linked to the bladder and reduces urgency and the need to avoid.
PTNS is a successful and well known therapy for overactive bladder syndrome and is offered as a block of 6 sessions weekly. After this initial period, top up sessions are offered once a month for 3 months.