Specific nerves and muscles surrounding your bladder regulate bladder function. Many things can affect the way these nerves and muscles operate, such as: pregnancy, childbirth, surgery (prostate, pelvic, etc.), medication, natural aging process, chronic disease, trauma, obesity, and more. To determine if you have an overactive bladder your physician may do a variety of tests. The good news is there are treatment options available to you.
William Bee Ririe Hospital and Rural Health Clinic now has a new procedure available for the treatment of overactive bladder and associated symptoms of urinary urgency, urinary frequency, and urge incontinence. This procedure, done by Dr. Ronald Crouch, M.D., Urologist, uses the Urgent PC Neuromodulation System to deliver Percutaneous Nerve Stimulation (PTNS) through a small, slim needle temporarily inserted in the ankle, near the tibial nerve. The stimulator's impulses travel through the tibial nerve to the sacral nerve plexus, the nerves controlling bladder function. Each treatment lasts approximately 30 minutes and it is recommended that individuals receive an initial series of 12 weekly treatments. Occasionally treatments may be scheduled thereafter to sustain results.
During your treatment you are able to sit comfortably, read, do crossword puzzles, or similar activities. You will feel sensation in your ankle or foot and the Stimulator will be adjusted by the clinician to a level appropriate for you. Once the 30 minutes cycle of treatment has finished the needle electrode will be removed and you should be able to resume normal activity immediately following your treatment.
Urgent PC has been used by clinicians since 2003 and studies have shown 60%-80% of patients improve with Urgent PC treatment. The majority of patients see a reduction in the frequency and urgency of their bathroom visits and in the number of accidents they have. It usually takes 5-7 weeks of treatment to begin seeing initial results.
Potential side effects include discomfort and pain near the stimulation site, redness/inflammation at or near the stimulation site, toe numbness, or stomach ache. This procedure is not recommended for individuals with pacemakers or implantable defibrillators, individuals prone to excessive bleeding, individuals with nerve damage that could impact either percutaneous tibial nerve or pelvic floor function, or women who are pregnant or planning to become pregnant during the course of the treatment.
If you would like more information about whether this procedure is right for you call the William Bee Ririe appointment line (775) 289-4040 to schedule an appointment with Dr. Crouch.