TL;DR:
- Axonics Therapy assists with bladder or bowel control issues, functioning by sending pulses to nerves in the lower back, improving their connection with the brain.
- The Axonics implant surgery consists of two stages: a trial stage (Stage 1) where wires are placed near the sacral nerve for monitoring; depending on the trial results, the device is permanently implanted in the upper buttock (Stage 2).
- The surgery duration is 20 to 60 minutes, with a total facility time of 3 to 4 hours. Recovery is usually quick and most patients return home the same day.
- Post-surgery restrictions include avoiding bending, twisting, stretching, lifting over 10 pounds, and soaking the wound for the first week.
- Commonly reported complications are mild pain, device shifts, itching and battery charge issues.
- Patients can maximize recovery and long-term results by following post-surgery instructions closely, attending follow-up appointments, maintaining a healthy lifestyle, and promptly reporting any discomfort or device issues.
Are you considering Axonics Therapy for fecal or urinary incontinence but worried about recovery time? At Continence Center at Nevada Surgical, led by Dr. Kent Sasse, we know your well-being is priority. Many wonder if same-day recovery is possible. Let’s break down what to expect during and after Axonics implant surgery. From how it works to healing stages and safety tips, we’ll guide you through every step towards better health. Read on to learn more.
What Happens During an Axonics Implant Surgery?
Axonics Therapy helps people with bladder or bowel control problems. When nerves send wrong signals, the body does not work correctly. The Axonics implant sends gentle pulses to nerves in the lower back. These signals help improve the connection between the brain and body.
Doctors suggest this surgery if diet or medicine does not work well. Some people do not like taking drugs daily. The implant is a solid choice because it helps long-term with fewer side effects.
On the day of surgery, check in at the center. A nurse checks blood pressure and puts a small IV in your arm. You stay awake with light sedation and local numbing.
The Axonics procedure has two parts. The first part is a trial, called Stage 1. Wires are placed near the sacral nerve, which controls the bladder and bowel. You wear an external pulse device on a belt for the trial.
If you get good results, you move to Stage 2. This stage involves placing the device inside your body, under the skin in your upper buttock.
How long does Axonics implant surgery take?
The surgery takes 20 to 60 minutes. The total time spent at the facility is about 3 to 4 hours. This includes time to wake up and get checked before leaving.
Stage 1 – Trial
In the trial stage, the doctor uses an X-ray to guide a small wire near the sacral nerve. A small part sticks out and connects to a pulse device on a belt. Most people go home the same day. Over a week, you track if symptoms improve. If results are good, you proceed to Stage 2.
Stage 2 – Full Implant
Stage 2 is when the device is put under the skin. The same wire is used, and the pulse device is placed under the skin in the upper buttock. This part is small, about the size of a coin.
The surgery is guided by a live X-ray machine. It helps place the wire correctly. If the wire is slightly off, results might drop.
Is Axonics surgery painful?
You will not feel pain during surgery because the area is numb. You may feel sore afterward in the lower back or buttock. This soreness fades over a week or two. Most people use over-the-counter pills like acetaminophen.
This is not spine surgery. It does not involve cutting bone. It is safe and quick.
How does the trial differ from full implant surgery?
The trial uses a wire and device on a belt, not placed under the skin. The full surgery adds a small generator inside the body, providing long-term comfort without external wires. You can swim, sleep, and live freely.
The Axonics implant offers freedom from pills and pads. It helps regain control in life.
What Is the Expected Recovery Timeline After Axonics Surgery?
What is recovery like after an Axonics implant?
Most people go home the same day. You rest in the clinic for 1 to 2 hours. Nurses check your blood pressure and pain level. Once stable, you can go home.
The bandage on your back stays dry for 48 hours. Later, gentle cleaning is okay. Avoid baths or pools for a week. Showers are okay after 48 hours.
Some mild pain or swelling may occur, which is normal. Ice packs and short walks help. Many use no pain medicine or just acetaminophen.
How long does it take to recover from sacral neuromodulation surgery?
Full recovery takes 4 to 6 weeks, but most feel fine sooner.
In Stage 1, the recovery is quick. Many return to work in 48 hours but should avoid bending and lifting for a few days.
For Stage 2, recovery may take a week or more. The implant site may be sore, but most feel back to normal in 10 to 14 days.
What is the Axonics Stage 2 procedure?
Stage 2 is the full implant with a permanent stimulator. It sends signals to the sacral nerve, which controls the bladder and bowel. The device sits just below the skin with a wire near the nerve.
What is the timeframe for resuming normal daily activities?
Most return to light tasks in 1 to 3 days. Walking in the house is safe immediately. You can eat normally unless told otherwise by your doctor. Return to work happens in about a week, sooner for desk jobs.
Common symptoms and side effects during recovery
You may feel soreness, small bruising, or mild stiffness near the lead. Dangerous signs include high fever, fast-spreading redness, or pus. Call your care team if these occur.
Milestones in Axonics implant recovery time
- 0–7 days: Rest, light walks, and wound care.
- 1–4 weeks: Return to normal; avoid heavy lifting.
- 1–3 months: Device settings are checked and adjusted; symptoms improve.
Many start feeling better control by week two. Some see results right away.
When can I drive again?
Drive once you stop pain pills and can move freely, often in 1 to 3 days. Check with your provider first.
Axonics implant recovery is short for a surgery. It provides freedom from pads and leaks, making the healing time worthwhile.
What Are the Restrictions and Safety Precautions After Surgery?
What are the restrictions after Axonics surgery?
You must limit movement and care for your wound. Follow your doctor’s instructions to promote healing and keep the device safe.
Movement Limitations in the First Week
You can walk the same day as surgery, but move slowly. Avoid bending, twisting, or stretching. Rest with care and avoid heavy chores or fast movement. Sleep on your back if possible.
Bathing and Wound Care Tips
Avoid soaking the wound. No baths, hot tubs, or swimming for at least two weeks. Showering is okay; pat the area dry and keep it clean. Watch for infection signs like red, warm skin. Clean hands before touching near the wound.
Activity and Exercise Restrictions
Do not lift over 10 pounds for 2 to 3 weeks. Avoid bending and high steps. Walking is fine if you feel stable. Wait to return to workouts and avoid twisting moves. Ask your doctor before resuming exercises.
Travel Guidelines with an Implanted Device
You can travel with Axonics after one week. Plan short walks during waits and carry your remote in your carry-on. Bring your therapy ID card when flying.
Safety Around Electromagnetic Fields and MRIs
Axonics devices are MRI-safe under certain conditions. Inform the MRI team before scanning. Avoid large fields like speakers or welders when possible. Keep magnets away from the device.
Device Management During Security Screenings
You can walk through airport security, but skip the wand. Keep the smart remote off during scans. If turned off, turn it back on later. Your care team can guide you.
When to Consult Your Doctor
Contact your doctor if you feel sharp pain, see fluid, or have a fever. These may suggest infection or device issues. Quick action ensures proper recovery.
Restrictions after surgery aid healing and therapy success. Most last a few weeks. Following them prevents problems and leads to significant improvements.
What Are Common Challenges or Complications Reported by Patients?
Axonics complaints are rare and often easy to fix.
Common issues include mild pain, itching, or less relief than hoped. Patients may not see results right away, which is normal as nerves take time to adjust.
Online reviews sometimes mention unmet expectations. Some expected quick results or had device issues. But many have positive outcomes.
Common Device Issues
- Device shifts
- Battery charge problems
- Lead wires move
- Therapy signal issues
These issues are rare but manageable. Device shifts or lead issues may need adjustments. Pain at the site is common but manageable.
Addressing Skin Problems
Skin itch or redness can occur, often from tape allergies. Mild infections are rare but need quick care. Signs include heat, pus, or fever.
Axonics has met safety goals and has not had recalls. Follow-ups help fine-tune settings for the best results.
Importance of Effective Surgery
Surgery can help more than drugs ever will. It may take time, but surgery offers real control and freedom.
Complications are rare and often due to poor fit, missed visits, or unrealistic expectations. With close care and follow-up, many feel better fast.
How Can Patients Maximize Recovery and Long-term Results?
Recovery after an Axonics implant
Most people return to normal after 7 to 10 days. Healing should include rest, ice packs, and loose clothing.
Full recovery
Healing takes about 2 to 4 weeks. Pain fades by week one, and swelling is usually gone by week two. Follow-up is key for a smooth recovery.
Stay on Track with Appointments
Attend every follow-up visit. They ensure your device works correctly. Fine-tuning may take a few visits.
Track Progress and Symptoms
Keep notes on symptoms and improvements. This helps the care team adjust your device as needed.
Understanding Device Programming
Programming begins around two weeks after surgery. Fine-tuning your device is normal and needed.
Communicate with Your Care Team
Report any discomfort or device issues promptly. Adjustments can solve many problems.
Comfortable Healing Tips
Wear soft, loose clothes and sleep comfortably. Avoid chairs that pressure your back.
Healthy Lifestyle Choices
Drink water, eat whole foods, and avoid smoking and alcohol. Walk daily, but avoid heavy lifting.
Watch for Unusual Signs
Report fast-growing swelling, spreading redness, or fever to your doctor.
Expectations should focus on gradual improvements. Axonics therapy offers freedom from pads and pills. With patience and a good plan, you can regain control of your life.
Conclusion
Understanding the Axonics implant involves knowing each step, from surgery to recovery. The procedure isn't lengthy, and you will be under anesthesia, minimizing pain. Post-surgery, follow guidelines to speed recovery and return to normal activities. Be mindful of safety precautions and restrictions to avoid complications. Common challenges, such as device discomfort or symptom delay, may occur but are manageable with proper care. Consistent follow-ups and lifestyle adjustments will enhance recovery and long-term benefits. By understanding the process and staying informed, you ensure the best outcome from your Axonics therapy.
Ready to take the next step towards regaining control and freedom from bladder or bowel issues? Discover how Axonics Therapy can provide long-term relief with fewer side effects than traditional treatments. Learn more about how this innovative solution can change your life for the better. Contact The Continence Center at Nevada Surgical to schedule your consultation today and explore if Axonics implant surgery is right for you!