"I am literally the 1% of all complications, if it can go wrong it usually does with me! I have trusted my life with Dr. Sasse under the knife more times than I'd like to admit! He is compassionate and caring and he genuinely makes you feel as though he cares about you when you are at your most vulnerable. I have no doubt in my mind that he has saved my life in more ways than one. I am grateful that he listens to concerns and actually hears what the patient is saying to really figure out a good plan of action. He's been pretty spot on for quite a few surgeries at this point! While there was a rough go with some staff when I first started seeing him, it appears as though there has been staff changes and my last appointment was great. The surgery scheduling gals are amazing and go above and beyond to help you."
What Is Incontinence?
Understanding the Condition
Incontinence (also called accidental leakage) is the unintentional loss of stool, urine, or gas. It can range from occasional leakage to difficulty holding a full bowel movement—but it's common, treatable, and we have effective options to help.
More Common Than You Think
Affects millions of adults of all ages, with varying degrees of severity
Highly Treatable
Advanced treatments can significantly reduce episodes and restore confidence
Personalized Care
Every treatment plan is customized to your specific symptoms and lifestyle
Understanding Your Condition
Learn about the causes, who's affected, and why seeking treatment matters
Why It Happens
- Nerve or muscle damage
- Pelvic floor dysfunction
- Chronic diarrhea or constipation
- Childbirth injury or prior surgery/radiation
Who's Affected
Adults of all ages—more common with aging, male or female, after pelvic surgery, or following childbirth.
Patient Success Stories
Watch real stories from those whose lives we've improved.
Regaining Confidence
Patient shares how treatment helped restore their quality of life and confidence.
Life-Changing Results
Discover how our advanced treatments transformed this patient's daily life.
Sacral Neuromodulation (SNM)
How It Works
Only way to re-establish the complicated series of events between brain and bowel/bladder.
Sacral neuromodulation (SNM) is a minimally invasive therapy that gently modulates the sacral nerves to help restore bowel control. A tiny implant sends gentle pulses that help normalize bladder and bowel nerve signals.
The SNM system sends gentle electrical pulses to the sacral nerves, helping to restore normal communication between the brain and bowel.
Axonics Sacral Neuromodulation System
A miniaturized implantable pulse generator with handheld remote for personalized therapy.
Key Benefits
What to Expect
Click each step to learn more about the process
Initial Consultation & Assessment
Begin your journey with a comprehensive evaluation by our continence specialist to determine if sacral neuromodulation is right for you.
- Comprehensive symptom assessment and medical history review
- Specialized diagnostic testing (anorectal manometry, endoanal ultrasound)
- Treatment candidacy evaluation and personalized consultation
- Insurance verification and treatment planning discussion
Trial Period (3 to 7 days)
Experience the therapy firsthand with a temporary trial to ensure effectiveness before permanent implantation.
- Minimally invasive temporary lead placement near sacral nerve
- External stimulator device provided for home use
- Continue normal daily activities while journaling improvement.
- Must show at least 50% improvement.
- Detailed symptom tracking and progress evaluation
Permanent Implant Procedure
If your trial shows meaningful benefit, proceed with the permanent implant during a brief, same-day outpatient procedure.
- Outpatient surgical procedure with minimal downtime
- Small device implanted discreetly under the skin on right or left butt cheek
- Personalized programming settings tailored to your needs
- Same-day discharge with comprehensive post-op instructions
Ongoing Care & Support
Receive continuous support and monitoring to ensure optimal therapy outcomes and long-term success.
- Regular device function monitoring and optimization
- Programming adjustments as needed for comfort and effectiveness
- Coordinated pelvic floor therapy and lifestyle guidance
- Support access and ongoing patient education
What Our Patients Say
Real experiences from people we've helped.
"Dr. Sasse is the best surgeon. He has a kind bedside manner."
June Kelly
"I've had an absolutely amazing experience with Dr. Sasse's office! Highly recommend!!!"
Cheyenne Bernardo
"Dr. Sasse and his staff are wonderful, making you feel cared for during every step."
Lottie Erickson
"Dr. Sasse and his scheduler, Breanna, are both respectful, competent, and kind. His front desk staff are incompetent and will schedule you to see different people even when the Dr wanted a follow up himself. Even the 3rd time when I emphatically told them the follow up was with Dr. Sasse only as he is the only staff I see there, they felt the need to condescend to me by walking back to check with Sasse. Believe your patients or get into an industry where your suspicion is warranted."
Google Patient
"First surgery yesterday. It was done at Quail Surgery and Pain Management. Dr. Sasse was my surgeon and he does an amazing job. He is knowledgeable and caring and took the time to answer all of my millions of questions to ease my anxiety. He did a gastric on my husband a few years ago and did a great job on that for him as well. We come from a town with less than ideal surgeons and a horrible hospital, so we made the trek to Reno. I felt much better about my surgery knowing I didn't have to go to my local hospital and even better knowing it was going to be Dr. Sasse. Highly recommend."
Google Patient
"Dr. Sasse is very professional and knowledgeable. He takes his time to explain the procedure and desired outcome of the surgery. His staff is top notch and polite. Great experience, I can't say enough about him or his staff."
Healthgrades Patient
"Great staff, great care… extremely happy."
Google Patient
"All the staff at Nevada Surgical along with Dr. Sasse were easy to talk to and ask questions. They know their business and know how to take care of you."
Google Patient
"I have had 2 surgeries with Dr. Sasse—he is truly an amazing doctor. His office has been amazing. I was only disappointed on my last visit when I drove 4 hours to the office and spent over 20 minutes trying to find parking. I had questions about the pain I've been having and felt disregarded. She just wanted out of there quickly, was in the room no more than 2 minutes."
Google Patient
"Great work by Dr. Sasse of Nevada Surgical. Thank you so much for your amazing surgical skills and expertise. He never gave me the runaround—just straightforward answers. Thank you, Dr. Sasse."
Google Patient
Insurance & Coverage
Most major insurance plans and Medicare cover sacral neuromodulation. Our team assists with pre-authorizations.
Ready to Reclaim Control?
Take the first step — same‑week visits often available.
Call us at 775-204-4265