Sacral Nerve Stimulation Treats Overactive Bladder
Overactive bladder (OAB) is a very common diagnosis, affecting up to 40 percent of adult women in the United States. It is actually a term used to describe a collection of symptoms that may include urinary frequency, urgency and urine leakage due to urge incontinence.
OAB can often be successfully managed with conservative treatments such as certain medications, pelvic floor therapy, bladder training or dietary changes. However, for some women, a procedure called sacral nerve stimulation might be a treatment option.
Request an Appointment with a Urology Specialist
If you are experiencing symptoms of OAB, the experts at University Hospitals offer a variety of treatment approaches that can provide relief. To schedule an appointment, call 216-844-3009.
Find a DoctorWhat is Sacral Nerve Stimulation?
Also called sacral neuromodulation (SNM), this minimally invasive procedure involves the placement of a small, programmable transmitter under the skin in the upper buttock area. The implanted device delivers gentle electrical impulses through a probe (a thin wire) that is placed near the sacral nerve. These impulses stimulate the nerves that control the bladder and alter the nerve communications between the brain and the bladder. Comparable to a pacemaker for the heart, this treatment can restore normal bladder function and improve symptoms.
SNM is a very safe and effective treatment with few side effects. Some women, however, may experience skin irritation, discomfort with stimulation or mild pain that radiates down the leg. These side effects can often be controlled by reducing the strength of the electrical impulses. Because the nerves involved also control bowel function, this treatment may also be used to treat fecal incontinence.
How is the Procedure Done?
Before your doctor schedules the implantation procedure, a temporary stimulator will first be tried to evaluate if this type of therapy will be effective for you. If your symptom relief is significant, you may decide to proceed with long-term therapy and implantation of the device.
Typically done under local anesthesia, the procedure itself only takes about 30 minutes and patients go home the same day. As the implant is being placed and the stimulation tested, you may be asked to describe any sensations you feel such as pulling, tingling or tapping in your pelvic muscles and/or vaginal area.
After the procedure, most women experience symptom improvement within the first week. Your doctor will advise you how long to wait before resuming normal activities - it may take three or more weeks for the incision to fully heal. Patients will need to see their doctor periodically for adjustments to their device settings.
Who Is Eligible For Sacral Neuromodulation?
Patients who have failed to respond to conservative treatments such as lifestyle changes, medications and pelvic floor therapy should talk to their healthcare provider to determine if SNM is a treatment option for them. It may not be appropriate for patients under age 18 or those with the following conditions:
- Pregnancy
- Stress incontinence
- Chronic conditions such as diabetes
- Urinary symptoms caused by obstructions such as tumors or urethral stricture
Request an Appointment with a Urology Specialist
Our highly trained experts in urinary incontinence and pelvic floor dysfunction are here to help. Regardless of your needs, our care team can design a personalized care plan that helps you return to activities with family and friends without worry. Call 216-844-3009 to schedule an appointment today.