What Are the Long-Term Results of Axonics Therapy?

TL;DR:

Axonics therapy boasts an 80% success rate after two years, with a battery life of over 15 years.
Clinical studies, such as ARTISAN-SNM and RELAX-OAB, showed over 90% participants experienced symptom relief and 75% saw significant reductions in accidents respectively.
Real world success rates align with these trials with 88% adhering to Axonics for over two years.
Downsides include surgery risks, cost, the frequent need for recharging and continual care. Despite this, in the long run Axonics prevails over pills and other nerve stimulation treatments.
In terms of side effects, these typically include pain at the implant site, swelling, and bruising. Major risks include infection, device movement, or nerve lead issues.
Axonics reviews reveal mostly positive experiences with improved bladder control, fewer incidents and boosted confidence. Negative reviews occasionally note inadequate improvement or device discomfort.
It's important to consult with your doctor about potential suitability for Axonics therapy. They may provide alternative strategies if necessary.

Are you tired of living with the inconvenience and embarrassment of fecal or urinary incontinence? At the Continence Center at Nevada Surgical, led by Dr. Kent Sasse, we focus on improving your quality of life with proven solutions. One breakthrough treatment we're excited to discuss is Axonics therapy. But what are the long-term results of this innovative treatment? Let's dive into the clinical findings and real-world success stories that could change your life for the better.

What Are the Long-Term Success Rates of Axonics Therapy?

What is the success rate of Axonics therapy?
Axonics therapy has over an 80% success rate after two years in studies. Many people see lasting relief from bladder or bowel issues. The benefits are not short-term—they continue for years.

In the ARTISAN-SNM study, over 90% had symptom relief after one year. Two years later, 93% remained well, with many achieving dryness or fewer leaks. This suggests the device works long-term and significantly enhances life quality.

Compared to medications, the device offers lasting help. Pills might stop working or cause side effects like dry mouth. Surgery with Axonics provides a durable solution.

How long does Axonics therapy last?
Axonics therapy can last over 15 years with the current rechargeable device.

Older nerve devices needed replacement in 4 to 5 years. Batteries would deplete, requiring more surgeries. Axonics has a battery life of 15 years or more, reducing the need for repeat procedures.

Axonics isn't a cure, but it can help the nerve function well for a long time. The new system charges about once a month, and it takes less than an hour.

Clinical Studies Show Strong Long-Term Efficacy

The ARTISAN-SNM trial included people with leaks, urgency, and incomplete bladder emptying. All had overactive bladder (OAB) and first tried pills with little relief.

Doctors implanted the Axonics device and tracked results over several years.

Results showed:

89% had fewer leaks after 1 year.
93% stayed on therapy at 2 years.
94% were satisfied with their results at 2 years.

Most people remained well at 3 years, with no drop in outcomes.

For fecal incontinence, the RELAX-OAB study found over 75% experienced significant drops in accidents over 2 years.

Real-World Success Rates Match the Trials

Patients outside the trials experience similar success. Many busy parents, older adults, or those with health problems found relief. Most were surprised by the results.

In a study of 129 real-life users:

77% had at least 75% fewer leaks.
88% stayed with Axonics for over 2 years.
Most felt a stronger sense of control and freedom.

People reported feeling less tied to bathrooms. Many could travel again, some with lighter pads or none at all.

Axonics vs. Other Treatments Over Time

Comparing Axonics to other treatments:

Pills often lose effectiveness and can cause side effects. Only 30-40% remain on them after one year.
PTNS (nerve stim in the leg) helps only with ongoing treatment, symptoms return if stopped.
InterStim is similar to Axonics but uses an older device with a shorter battery life.

Axonics excels in longevity and ease of settings adjustment. Most patients prefer it long-term. A U.S. study found slightly higher success with Axonics. Its long-term results were more stable.

How Long Does Symptom Relief Last?

Relief often begins right after the test phase. If you notice improvement, you move to full implant.

The question is: “Will I keep feeling better?”

Most people do. The nerves for bladder and bowel control improve. As long as the device signals are strong, results persist.

OAB leaks per day dropped as much as 90% and remained low. After 2-3 years, many people were accident-free most weeks.

Fecal incontinence shows similar results. A study in Europe found 80% stayed dry or had rare leaks three years post-implant.

What Factors Shape Your Results?

Results can vary. Factors affecting success include:

Age: Active, healthy older adults do well. Frail patients may see smaller gains.
Severity: Mild symptoms might get full control, severe symptoms may see less dramatic progress.
Comorbidities: Conditions like diabetes can affect success, but proper settings and follow-up help.

Being honest with your doctor aids success. If something isn't right, settings can be adjusted. The device has many options to fine-tune.

How Device Design Keeps Success High

The design of Axonics is key to success.

The battery lasts 15 years or more, leading to fewer surgeries and more trust.

You only need to recharge it once or twice a month. The small charger fits in your hand and takes under an hour. Many users forget the device is there.

Older implants were larger with weaker batteries, leading to early replacements. Not with Axonics.

Some might worry about recharging, but few quit because of it. In a U.S. survey, 94% said recharging was “easy.”

My Experience With Patient Outcomes

I've seen people go from scared to free and active.

One patient, a 68-year-old man, planned bathroom stops for trips. With Axonics, he took his first road trip in 10 years with no accidents.

A woman in her 40s had bowel leaks due to birth injury. After a month with Axonics, she wore white pants for the first time in years—with no fear.

Success varies for each person. Full dryness for one, fewer leaks for another. But nearly all feel stronger and more confident.

This is our goal.

The Final Word on Sustained Success

For long-term success, Axonics holds strong. It helps nerves fire correctly and reduces symptoms over time. The battery holds up, and the system fits life with ease.

The success of Axonics therapy is high, not just in trials but in actual experiences.

Most improve. Few return to pads or fear. Unlike pills, it doesn’t cause brain fog or dry mouth.

While surgery can be daunting, Axonics provides lasting control pills can't.

What Are the Reported Side Effects and Complications of Axonics?

What are the Axonics implant side effects?
Common effects include pain at the implant site, swelling, or bruising. Risks include infection, device movement, or nerve lead issues. While low, these can impact comfort or function.

I inform my patients all surgeries have risks, even small ones, with a device used daily. The Axonics implant fits near the tailbone and supports bladder or bowel nerves. It's safe for long-term use, but issues do arise. Let’s discuss them clearly.

Common Short-Term Side Effects

Post-implant, you might feel pain in the lower back or buttock, where the Axonics device is placed. Pain can last days or weeks but often eases with rest.

Swelling and bruising can occur around the lead wires and battery. This usually resolves within two weeks, but if not, we assess it further.

Infections at the site are rare but possible. Be alert for redness, warmth, or thick discharge. Always contact your doctor if you notice these signs, no matter how small.

We also watch for urinary urgency flares. Though rare, some patients experience more bladder activity initially. This may improve once the body adjusts to the nerve signals.

Device Movement and Lead Migration

What are the disadvantages of sacral nerve stimulation?
Key risks include device lead migration, infection, and hardware failure. These can affect device function and might require surgery.

The "lead" is a thin wire near your sacral nerve, acting as a messenger from the battery. If the lead moves, bladder control might worsen, or you could feel jolts in your leg or groin. Most lead issues arise in the first six months; after that, it usually stays in place.

We reduce this risk by securing the lead tightly and using fluoroscopy for placement. A small number—1% to 5%—might need another surgery to adjust it.

Long-Term Risks and the Need for Revision

Some patients may require device revision or removal over time, due to battery case shifts, lead slips, or nerve non-response. These cases are not frequent, yet follow-up care is crucial to catching issues early.

Axonics lasts longer than older devices and seldom needs early removal. I advise expecting at least 15 years of function. Lifestyle changes or weight gain can influence implant performance. Some patients have returned for slight lead shifts after exercising or losing weight.

If symptoms persist weeks after surgery, or return years later, a system “tune-up” might be needed.

Known Complications of Nerve Stimulation Devices

Alongside lead issues and site infections, you might notice:

Numbness or tingling in legs or groin
Sudden device buzzing or jolts
Discomfort sitting due to device bulk
Scar tissue near the lead

These are common in sacral nerve devices generally, not just Axonics. The Axonics system’s design tends to minimize pain and tissue swelling versus older systems like Medtronic’s InterStim II.

A benefit of Axonics is its small size, approximately as wide as two stacked quarters. Many patients hardly notice it’s there. The smaller size also reduces hardware interaction with muscle or nerves, cutting down on bulk-related pain.

Device Problems: Battery or Electrode Trouble

Battery issues with Axonics are rare, which is a standout feature. Unlike older units, there’s no need for frequent battery replacement. Instead, you recharge with a wireless device weekly. I guide patients on this cycle for optimal performance.

Even still, battery issues can arise; for instance, the charger might not align properly. We instruct patients on checking this. Additionally, if the external controller fails, patients might not realize nerve signals changed. That’s why yearly device checks are essential.

Lead breakage is another uncommon but serious issue. Axonics leads are soft and flexible, making them safer during normal movement. However, trauma—from a fall or car crash—may bend or snap the lead, causing loss of signal and fast symptom return.

How We Reduce These Risks

A solid surgical plan is crucial. I use X-rays during surgery to ensure the lead touches the correct nerve root. We verify the signal before closing the skin. Unusually, we even ask patients about their stimulation sensations during surgery.

There is a four-week healing period after surgery. We advise patients to:

Avoid twisting the lower back
Refrain from lifting more than 5 pounds
Opt for short walks instead of strenuous exercise
Sleep on their side or stomach

This lets the lead settle as your body forms a tissue seal around it, helping prevent movement.

We also educate about recharging. I assist each patient in finding a routine that fits their schedule, whether mornings or evenings. It takes 30-60 minutes, and most watch TV or read during it.

Finally, the Axonics system includes a tool for visual checks, showing battery levels and active settings. It serves as a guide if anything changes with your system.

When to Contact Your Doctor

Reach out to your doctor if:

You feel sharp or new pain near the device
There is redness or discharge at the site
You experience burning, numbness, or lost bladder control
Your remote no longer functions
Unexpected beeping or jolts occur

I tell my patients: If it feels off, even slightly, contact us. Many side effects are straightforward to fix if spotted promptly.

Even rare issues, like deep infections or scar tissue, are easier to manage early. Sometimes, antibiotics or a nerve setting adjustment help. Other times, it involves a lead repositioning.

Axonics has the advantage of keeping a log. We can review this if settings change without your awareness. It simplifies corrections for what isn’t functioning correctly.

Wrapping It All Together

Here’s the reality about Axonics side effects. Yes, there are risks of pain, lead shifts, or infections, but these affect a small percentage. I estimate fewer than one in five experience side effects—fewer require revision surgery.

When side effects occur, most are brief and easily addressed. And compared to medication side effects—such as dry mouth or cognitive issues—Axonics risks are direct and simpler to manage.

The benefits are real: bladder control, fewer accidents, no more bathroom proximity. This freedom is why I recommend Axonics to many patients.

Consult with your surgeon and ask questions. Understand both the rewards and the risks. With professional care and proper follow-ups, most side effects can be handled or avoided.

How Do Patients Rate Their Experience With Axonics?

Many ask: What do patients say in Axonics reviews and complaints?
The answer: Most Axonics patient reviews are positive, though some report issues.

Let’s explore what real users say about Axonics. These are individuals with bladder or bowel issues unresponsive to other treatments. They chose Axonics to gain control, reducing dependence on pads or pills.

What Axonics Patient Reviews Say in Studies

In clinical studies, many felt improved. In one long-term study, 90 out of 100 people saw sustained bladder control after two years—a huge leap. Most avoided accidents and slept better without nighttime bathroom trips.

Another study on bowel leakage showed over 80 out of 100 had fewer accidents after a year, with some seeing none. Lives simplified, offering more control and less fear in public.

In both groups, stress levels dropped. They felt free to leave their homes again, no longer needing to map bathroom locations.

Positive Axonics Reviews: Big Changes in Life

Most reviewers highlight a key theme: life feels normal again. They describe therapy as granting freedom, sometimes as a second chance.

Common sentiments found in forums or surveys include:

"I used to check every bathroom everywhere. Now I don't have to worry."
"No more sudden leaks. I can go out with friends without fear."
"At first, I doubted it would work. But it changed my life."
"I tried pills for years. They made me dry and dizzy, but the device worked better."

Patients appreciate the simple management of therapy. The small device remains unseen, not interfering with daily life. Users report showering, traveling, exercising, and overall improved living.

After stopping pills due to side effects, many feel safer with Axonics. They prefer a treatment that isn’t a daily drug. Confidence grew, returning to work or social life.

What Are Common Axonics Complaints?

Now, let’s answer this: Are there Axonics negative reviews?
Yes. Some feel results didn't meet expectations.

Common complaints include:

Insufficient improvement
Device discomfort
Recharging inconvenience
Changing effectiveness

In such reviews, users say:

"I did not feel much better post-implant."
"It helped some, but not as much as hoped."
"I disliked the buzzing; it made sitting uncomfortable."
"I needed resets more than once."

Some experience lead wire movement, known as lead migration. This weakens signals, possibly requiring surgical adjustment. Others feel skin soreness around the implant, typically resolving with time.

Despite dissatisfaction, most reviewers are glad to have tried therapy. Few chose to discontinue use.

Where Do These Negative Axonics Reviews Come From?

You find reviews on:

Health forums like Mayo Clinic Connect
Condition-specific boards (e.g., OAB support sites)
Social media groups for bladder or bowel health
Clinical survey reports and trial data

The negative feedback often comes from a small group compared to those thriving. I always advise not making choices based on one negative review but considering a range of experiences.

Clinical sites also gather complaint data. Device makers like Axonics must report user-logged problems, which tend to be minor or fixable.

Medical studies report only 5% to 10% of users stop therapy due to unsolvable problems, with 70% or more content long-term.

Can I Trust Axonics Reviews Online?

Are Axonics forums and reviews reliable?

The answer: Some are, some are not. Forums provide insight into user experiences, but not all posts are fair or accurate. Some might be outdated or lack critical information. Others highlight worst-case scenarios.

For reliable advice, visit proven sites:

RealSelf (many medical therapy dialogues)
Mayo Clinic Connect (well-moderated, real users)
Academic papers (years of patient feedback)

Also, consult your doctor. They may have patient letters or contacts with current device users.

Doctor offices and device companies uphold check-ups. These ensure device function. You can request feedback from others over time.

How Often Do Issues Happen With Axonics?

How often do patients face Axonics complaints?

In real-world reports, long-term problems are rare, with the most common being:

Sore skin at the site (less than 4% of patients)
Mild pain that diminishes in days
Needing a lead adjustment (less than 3%)
Uneven signal sensation—commonly solved by tweaking

Approximately 1% may require device removal. Most discontinuations occur due to inadequate efficacy, not pain or harm.

Many patients who collaborate with their doctors continue to do well. The Axonics system allows for signal strength adjustments. Many find the right level with minimal adjustments.

The primary reason for discontinuation is lack of effect rather than safety.

What If You Are Not Happy With Axonics?

Wondering: How do doctors handle Axonics dissatisfaction?

Effective practitioners listen. If patients express concerns, doctors check:

Is the lead in the correct position?
Has the device moved?
Can the program be adjusted?
Have bodily changes affected outcomes (weight, spine, etc.)?

They may scan or test signals, remapping when necessary.

Doctors ensure you’re not left stranded. If therapy fails, options may include:

Program adjustments
Lead repairs or replacements
Switching sides (implant can be left or right)
In rare cases, trying another nerve modulation system

If discontinuation is necessary, implants can be removed. Surgery is brief and safe, and your team will plan alternative treatments.

Some benefit from additional treatments, such as dietary advice or pelvic therapy.

Yet most stick with Axonics, enjoying the lack of daily medication and gaining confidence.

For the best decision, assess your history with a bladder specialist. They will provide step-by-step guidance.

The Main Takeaway from Axonics Patient Reviews

While there may be some challenges, most Axonics patients express satisfaction. They report feeling better, sleeping more soundly, and living with less anxiety. There are fewer pills and fewer incidents.

Patients enjoy regained freedom.

If you’ve tried other options, this could be your next best step.

What Are the Potential Downsides of Choosing Axonics Therapy?

Curious about: What are the cons of Axonics?

The main downsides are: surgery risks, cost issues, need for recharging, and time commitment for care.

Let’s examine these aspects to prepare you for what to expect.

Cost and Insurance Coverage Limitations

A common concern is cost. The device, surgery, and ongoing care can be expensive. You might wonder: Is Axonics covered by insurance?

Typically, Medicare and many insurance plans cover Axonics, but not universally. Some patients cover parts of costs from pockets, including co-pays, surgical fees, or care charges.

Costs vary by plan and location. Before proceeding, check with insurance regarding coverage and expenses to avoid surprises.

Some have succeeded in securing more coverage through appeals. Your doctor’s office might assist in verifying coverage or filing an appeal.

Even with coverage, expect some continued expenses, possibly for device updates or clinic visits. Budgeting for care is important.

Surgical Procedure and Recovery Time

Axonics requires surgery, making some apprehensive. You might ask:
Does Axonics require surgery, and what is recovery like?

Yes, a device is implanted near lower-back nerves. Surgery often takes less than an hour, with many patients going home the same day.

Though small, cuts necessitate healing time, typically 7–14 days. Initial discomfort near the cut or pressure from leads subsides with rest. Full healing occurs within a few days for some.

Heavy work and sports are off-limits during recovery. Follow instructions to minimize risks.

Surgery involves inherent minor risks such as infection, bleeding, or improper lead placement, sometimes requiring adjustment.

If you have past back surgeries or health issues, your doctor discussions will address these. Healing might slow based on age or current health.

Device Recharging Frequency and User Convenience

Consider recharging time, pondering: Do I need to charge my Axonics device often?

Observed demand varies with the model. Presently, most users have rechargeable devices, needing a small wireless charger weekly. Others prefer monthly charging, lasting 20–60 minutes.

Limited movement is required during charging sessions. Some find it convenient during relaxed activities, while others see it as burdensome.

Possible issues include the charger slipping if not stationary or forgetting to charge weekly.

Overlooking charging may cause symptom return, which can be alarming for severe cases.

Frequent travelers or those with tight schedules should assess the feasibility, described issues of charger warmth or soreness being rare.

Progress in charger efficiency and patient positioning education aids convenience, though not always effortlessly managed.

Need for Follow-Up Appointments and Potential Device Adjustments

After surgery, regular check-ins with your care team are necessary, raising queries like:
Is keeping up with care challenging once I have Axonics?

Post-surgery appointments help adjust settings for effective signal delivery. An initial phase of calibrating signal strength and placement occurs, typically needing some visits followed by annual checks.

For some, this is manageable; others find scheduling or travel challenges.

Device signal efficacy occasionally diminishes due to body changes, aging, or lead movement, warranting setting refinements or, rarely, surgical interventions.

Despite needing ongoing attention, the benefits often justify these efforts, as less leakage or urgency substantially improves quality of life.

Comparison to Alternatives: Medications, PTNS, InterStim

Asking: Why choose Axonics over meds or other treatments?

Medications are often first approaches for bladder or bowel issues, but prove ineffective for some long-term. Initial effectiveness may wane, or side effects like dry mouth appear.

Beyond meds, doctors might try PTNS, requiring clinic visits using ankle-based pulses to alter nerve signals—an Axonics-like function—necessitating extended treatment durations.

Patients sometimes turn to InterStim, another implant option, but often prefer Axonics for its superior battery lifespan and smaller size, suiting varying body types.

Both options are valid, selected according to personal considerations and comfort.

Psychosocial Impacts and Lifestyle Adjustments

Sometimes overlooked, the question arises:
Does having the device impact lifestyle or emotions?

For some, the internal device leads to self-awareness despite being unseen. Occasional explanations at security checkpoints or to confidants might be needed.

On the flip side, others gain confidence with device efficacy, relieving anxiety about urgent bathroom runs.

Changing sleep posture or wardrobe may result as utilization impacts lifestyle. Tight clothing might discomfort an area near the lower back.

Active professionals or performers may have movement apprehensions, alleviated with doctor guidance.

Emotionally, there may be concerns about operational failure or further surgery requirements. Building a support network or consulting therapists could ease worries.

Despite potential challenges, studies predominantly report life quality improvements post-device, owing to diminishing anxiety over leaks.

Handling Mechanical or Electronic Malfunctions

Lastly:
Are Axonics mechanical or electronic issues common?

Though not typical, devices can malfunction due to mechanical issues or signal inadequacy, potentially due to loose wires, non-charging batteries, or ineffective signals.

Symptoms of problems include:

Return of symptoms
Unexpected jolts near bladder or back
Site swelling, redness, or pain
Disconnected chargers or remote issues

Tests and evaluations can identify solutions, often remotely adjusted. If device replacement becomes necessary, another minor surgery may occur.

These instances are rare, with newer models excelling in longevity and performance. Fifteen-year battery reliability further reduces risk.

Effective maintenance, adhering to charge schedules, and attending checkups mitigate potential issues.

You now have a full picture of Axonics cons, noting its positive standing when medications fall short, highlighting a path toward lasting benefits.
Many who initially hesitated later expressed gratitude for regaining life quality through the device. Transitions from frequent leaks to regained control, show the value of this therapy.

As you decide, assess your situation, ask thorough questions, and understand options thoroughly. Remember, support is available throughout this journey.

Conclusion

Axonics therapy offers hope for those with incontinence by improving life quality. Past studies show it works well long-term, often better than old treatments. Though some face side effects like pain or needed revisions, many find relief from symptoms. Patients often praise benefits, citing less bathroom rush. Yet, costs, surgery time, and device upkeep may deter some. Knowing these factors helps weigh choices. Always discuss options with your doctor to see if Axonics fits your needs. This informed choice may lead to a better life.

Ready to regain control over your bladder or bowel issues? With over an 80% success rate after two years, Axonics therapy offers long-term relief and enhances your quality of life. Discover how this revolutionary treatment can help you enjoy life without the constant worry of accidents or side effects from medications. Don't wait any longer—take the first step towards freedom and confidence. Contact The Continence Center at Nevada Surgical today to learn more and schedule a consultation!