Conquer that overactive bladder
By Kimberly A. Harris, RN, MSN, FNP
If you suffer from a frequent need to urinate, strong sudden urges to urinate and/or urinary leakage as a result of urgency, we can help you.
These symptoms are often associated with a condition called Overactive Bladder (OAB) with or without urge incontinence. With Overactive Bladder, the nerves that supply sensation to the bladder and surrounding muscles do not always communicate effectively with the brain. Patients will experience bladder spasms which cause sudden sensations associated with the need to urinate. These spasms can occur multiple times daily or even hourly.
Our new procedure
Multiple treatment options for OAB and urge incontinence are available to our patients in the form of medication, physical therapy, and PTNS (posterior tibial nerve stimulation).
We also want to update you about a new procedure Dr. Rebecca Ryder and our GYN office recently added to our health care, called InterStim.
InterStim has been FDA approved since 1997 and has been used by more than 75,000 patients with a great success rate.
How it works
InterStim is a neuromodulation system that targets the communication problem between the brain and the bladder. It uses painless electrical impulses to stimulate the sacral nerves which control the bladder and muscles related to urinary function.
Once Dr. Ryder determines that this is a good treatment option, there are two steps to start the therapy.
First, a small wire is inserted into the lower back/buttock area under local anesthesia in our office. The patient will have a 3 day trial assessment which gives her an opportunity to see how well InterStim works.
During these 3 days, the patient will complete a bladder diary to track symptoms such as number of trips to the bathroom, number of pads changed, and number of nighttime awakenings.
If the patient’s symptoms are reduced by 50% or more, she is a candidate for the permanent InterStim device, which is step 2. In this final step, a small, internal device is implanted under the skin in the rear pelvic region as an outpatient procedure.
OAB and urge incontinence can have a great effect on a woman’s life. Some women report severe fatigue as a result of frequent nighttime urination. Others limit their fluid intake to avoid frequent trips to the bathroom. In severe cases, women are afraid to leave their house for fear of leaking urine, or will have to wear pads or diapers to avoid accidents.
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If you have questions about Interstim as a solution to Overactive Bladder and urge incontinence and live in Virginia Beach, Chesapeake, Norfolk, Portsmouth, Eastern Shore, Peninsula, Hampton Roads or North Carolina, please contact our GYN clinic at (757) 312-8221. Our GYN doctors are here to help you.
About our GYN Clinic
Our three female gynecologists and Nurse Practitioner provide comprehensive gynecology services to women and girls of all ages in Virginia Beach, Chesapeake, Norfolk, Portsmouth, Eastern Shore, Peninsula, Hampton Roads and North Carolina. Our gynecology care includes Overactive Bladder, incontinence, urge incontinence, InterStim, and more.