Neuromodulation Clinic for Bladder and Bowel Dysfunction
A state-of-the-art center with specialized treatments for specific conditions.
For the patient whose condition does not respond to behavioral modification or medications, we offer our neuromodulation clinic. Here, at our centrally located offices in Norwood, we use advanced medical devices and technologies to alter the activity of the nervous system for the treatment of overactive bladder or bowel dysfunction.
Services and treatments offered:
Sacral nerve stimulation (InterStim therapy): A tiny pacemaker is implanted in the bladder.
During this minimally invasive surgical procedure, a tiny pacemaker-like device is implanted through a tiny incision in the lower back and connected to a wire that is placed near the tailbone. This pacemaker calms the sacral nerves that control bladder function.One of the benefits of InterStim® is that your physician can perform a 15-minute test to see if the procedure will work for you. If this test delivers positive results over a three- to five-day period, the permanent implant is possible.·There is up to an 85% success rate for patients with positive pre-procedure test results·Patients are sedated for the InterStim® Therapy surgery.·Patients should expect to go home within an hour of surgery.·The pacemaker batteries may need to be replaced after three- to five-years.
Botox injection: Botox is injected directly into the bladder muscle.
Botox can be used to treat overactive bladder and other urinary issues. The physician injects Botox directly into the bladder muscle during a cystoscopy (a procedure that enables the doctor to view the affected area through a tiny camera).
The drug partially paralyzes the bladder, relaxing it so that it can store more urine, but leaves enough control to empty the bladder voluntarily. The treatment is not permanent – it typically lasts about nine months – and can cause side effects including urinary tract infection.
Posterior Tibial Nerve Stimulation (PTNS): Stimulation of the posterior tibial nerve.
PTNS is a non-invasive form of neuromodulation used to treat overactive bladder and incontinence. The nursing staff performs periodic stimulation of the posterior tibial nerve, which is near the ankle, on a weekly, outpatient basis.
In this procedure, the nurse inserts an acupuncture needle/electrode near the post-tibial nerve behind the ankle bone. A skin pad/electrode is adhered to the foot. These two electrodes are then connected to the pulse generator, which delivers an electrical signal that travels along the tibial nerve up to the sacral plexus in the pelvis.
Bladder augmentation: Using tissue to enlarge the bladder.
This rare surgical procedure enlarges the bladder with a patch made from the patient’s own tissue using the bowel. This enlargement allows the bladder to hold more urine at lower pressure.