Urgent PC Therapy for OAB and Urinary Incontinence
Both surgical and non-surgical treatments are available to address overactive bladder (OAB) and the associated symptoms of urinary frequency, urge incontinence and urinary urgency. For many patients, both behavioral modifications coupled with OAB drugs — known as antispasmodics and anticholinergics — are utilized as first options for treatment. However, a majority of patients (roughly 80 percent) discontinue these drugs due adverse side effects and 30 percent due to lack of efficacy within the first year.
Traditionally, when conservative treatment options fail to correct overactive bladder and produce continence, more invasive treatment options including surgical operation were pursued. With the introduction of neuromodulation therapy, doctors are successfully treating OAB by targeting the communication channels between the brain and the nerves that control the bladder. Pacific Urology utilizes neuromodulation therapy systems with such modalities as InterStim and Urgent® PC therapy.
Many medical publications highlight the use and effectiveness of percutaneous tibial nerve stimulation (PTNS) for the treatment of overactive bladder and urinary frequency, urge incontinence and urinary urgency. In a recent analysis of the Urgent PC system efficacy, researchers reported that 71 percent of patients responded to PTNS, which led to reductions in the number of voids, voided volume and voids per night.
The Urgent PC Neuromodulation System is FDA-approved and in 2014, the American Urological Association (AUA) official recommended the treatment for the improvement of OAB and incontinence.
How Urgent PC works
Urgent PC is an office-based therapy that allows patients to undergo 30-minute sessions in the comfort of a chair. During the treatment, a slim needle electrode is inserted near the tibial nerve in the lower leg, carrying electric impulses from a hand-held stimulator to the sacral plexus. The sacral plexus provides motor and sensory nerves that control your bladder.
Patients undergoing Urgent PC therapy are scheduled for 12 initial treatments, usually a week apart. However, some individuals may require further treatments to sustain symptom relief.
To learn if you are a candidate for Urgent PC Therapy to treat your overactive bladder, please contact us to request an appointment with our urology specialists.