10 years of OAB

I started experiencing symptoms in 2016. it started one night with bladder spasms, dribbling, and the constant urgency to void. it wqs like that for a night or two and thereafter I had nocturia 3x a night. over the decade my symlyoms have gotten worse. from 3 times a night to 20 times in a night. I go through the va for my Healthcare and after a mosdiagnosis I was given a diagnosis of overactive bladder in 2021. since then I was eventually put on myrbetriq which does help some, but just not enough. im so tired of the anxiety everyday around this condition. I cant lead a normal life as much as id want to. I want a urinary diversion as that would solve the oab problem completely. I could care less about wearing an appliance the rest of my life if it meant I could sleep again. has anyone experienced nocturia up to 20 times a night and gotten relief through any treatment?