Percutaneous Tibial Nerve Stimulation for Overactive Bladder [sAqNPHnXH]

Percutaneous Tibial Nerve Stimulation for Overactive Bladder [sAqNPHnXH]

| 1h 28m 28s | Video has closed captioning.

Percutaneous Tibial Nerve Stimulation for Overactive Bladder. In this video, I show how percutaneous tibial nerve stimulation (PTNS) works to improve symptoms of urinary frequency, urgency, and urge incontinence associated with overactive bladder. PTNS therapy has been shown that 80% of patients respond to treatment even after failing OAB medications and conservative measures. PTNS therapy works by stimulating tibial nerve which then interacts with the sacral nerves that control pelvic floor function and urination. I go over in detail PTNS needle placement. I demonstrate the procedure from start to finish. One of my patients shares her long standing experience with PTNS and explains what it feels like. Some common questions that patients wonder: 1. How many treatments are needed? 12 treatment session lasting 30 minutes each 2. Is it painful? It's more like a tingling sensation 3. Does insurance cover it? Yes, as long as you have tried two different classes of overactive bladder medication and conservative treatment. 4. How long does the benefits last? Once patients finish the initial 12 week treatment course, the benefits can be maintained with once a month maintenance session. 5. Where do the the treatments take place? In the office. 6. Are there any side effects? No severe side effects 7. Are there any contraindications? Patients with cardiac pacemakers should probably not undergo treatment with PTNS. 8. What are other options other than PTNS? Botox injection into the bladder and an implantable sacral neuromodulation device are two other alternatives in patients with overactive bladder who fail medications. If you live in the SF North Bay Area and would like a urology consultation, please contact us below: ---------------------------------------- Dr. Robert Chan 1240 S. Eliseo Drive Suite 200 Greenbrae, CA 94904 (415) 461-4000 drrobertchan.com ---------------------------------------- Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Information obtained from this video should not be taken in lieu of your own medical provider's advice and treatment plan. Please consult directly with a physician or other healthcare professional regarding any diagnosis or treatment plan options. Content provided on this Youtube channel is for informational purposes only and should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose , treat, cure or prevent disease. #overactive bladder #percutaneous tibial nerve stimulation #urge incontinence