TL;DR:
- Sacral neuromodulation (SNM) uses a device placed in the lower back to improve bladder and bowel functions by stimulating the S3 sacral nerve.
- SNM is a treatment option for conditions like overactive bladder, urinary retention, fecal incontinence, frequent urges, bladder pain, and bowel control issues, especially when other treatments have failed.
- It has a 70% to 84% success rate and FDA approval for treating urinary and fecal incontinence.
- Devices like InterStim and Axonics offer small, rechargeable solutions designed for longevity and continued relief.
- The procedure involves a trial phase and a full implant phase, with most patients experiencing quick recovery.
- SNM is often compared to pelvic floor therapy, which focuses on muscle control. Your choice between the two depends on your symptoms, personal goals, and response to treatment.
Are you tired of struggling with incontinence and seeking an effective solution? At Continence Center at Nevada Surgical, we understand the challenges you face. When it comes to treating fecal and urinary incontinence, two leading options stand out: sacral neuromodulation and pelvic floor therapy. Led by Dr. Kent Sasse, our team is dedicated to providing clear, expert guidance. Join us as we explore which treatment might suit your needs best, empowering you with knowledge for better health choices.
What Is Sacral Neuromodulation and How Does It Work?
Understanding Sacral Nerve Stimulation
Sacral nerve stimulation uses a small device to help control bladder and bowel movements. This device sends gentle signals to improve nerve function. These signals can reduce leaks and let you empty your bladder correctly.
Sacral Neuromodulation: A Detailed Look
Sacral neuromodulation (SNM) is an option when other treatments don't help. It involves placing a pulse-generating device in the lower back. This device targets the S3 sacral nerve, which is key to bladder and bowel functions. Patients often describe the sensation as a soft tapping.
How It Works
The device helps the brain send clear messages to the bladder. This communication can reset nerve signals and improve bladder control. By focusing on the S3 nerve, SNM improves coordination between the pelvic floor muscles and the bladder.
Treatable Conditions
SNM is effective for overactive bladder, urinary retention, and fecal incontinence. It also helps those with frequent urges, bladder pain, and bowel control issues.
Role of the S3 Nerve
The S3 nerve links the brain to the bladder, rectum, and pelvic floor. By resetting this connection, SNM helps ensure correct nerve signaling.
FDA Approval and Use
SNM has FDA approval for treating urinary and fecal incontinence. Some doctors use it for other conditions, like bladder pain, if no other treatments have worked.
Success Rate
SNM has a success rate of 70% to 84% for improving bladder and bowel control. Studies show lasting results and long-term benefits.
Device Options
Devices like InterStim and Axonics offer small, rechargeable solutions. They are designed to last long and provide continued relief.
Candidacy for Treatment
Candidates might be those for whom medications have failed, or who want a long-term solution without side effects. The treatment is tested first to ensure effectiveness.
Benefits Over Medication
While medications may have side effects like dry mouth or brain fog, SNM offers a direct approach to fixing nerve issues. Surgery is low-risk, and most patients experience quick recovery.
Restoring Freedom
With SNM, patients regain control of their bladder and bowel. They can live confidently without the constant worry about leaks or urgent trips to the bathroom.
What to Expect from the Procedure
The Procedure Basics
SNM involves mild electrical signals to correct nerve problems. A small wire is placed near the S3 nerve with a device under the skin. This procedure resembles how a heart pacemaker works.
Stages of the Procedure
There are two stages: a trial phase and a full implant phase. Stage 1 is the trial to see how well it works. If effective, Stage 2 involves placing the permanent device.
Trial Phase (Stage 1)
During this phase, a lead is placed near the S3 nerve for 4 to 14 days. This helps determine the procedure's effectiveness without committing to a full implant.
Full Implant (Stage 2)
If the trial is successful, a small device is implanted. This device sends continuous signals to help control bladder and bowel functions.
Recovery
Recovery is quick, with low pain levels. Most people resume normal activities in a few days.
Pelvic Floor Therapy: A Comparison
Using Pelvic Floor Therapy
Pelvic floor therapy teaches you muscle control to reduce leaks and improve bowel control. A therapist guides you in strengthening and relaxing these muscles.
Therapy Goals
Therapy helps you learn correct muscle use for better control during daily activities.
What's Involved
Therapists use tools like biofeedback and gentle electric signals to enhance muscle awareness.
Comparison to Sacral Neuromodulation
Sacral neuromodulation targets nerve issues, while pelvic floor therapy focuses on muscles. SNM is ideal for nerve-related problems, offering long-lasting effects with little daily effort.
Which Is Better for You?
Evaluating Options
Your choice depends on your symptoms and personal goals. Sacral neuromodulation provides a long-term solution, especially for nerve-based issues. Pelvic floor therapy may suffice for muscle-related problems.
Personalizing Your Treatment
Work with your healthcare team to decide the best option. Both therapies can be combined for optimal results. Consider what fits your lifestyle and offers the best chance of success.
Your dignity and health are worth the best care possible. If one method doesn't work, explore the other with your care team.
Conclusion
Sacral neuromodulation (SNM) can change lives by managing bladder and bowel issues. It focuses on the sacral S3 nerve to improve control. Procedures include a two-stage process with potential complications. Both SNM and pelvic floor therapy offer benefits, but SNM stands out for severe cases. Choosing between them depends on your needs and lifestyle. Surgery may seem daunting, but the chance for relief is worth it. Your health can thrive with the right treatment. Contact us to explore if sacral neuromodulation suits you. Take the first step toward wellness today.
If you're ready to take control of bladder and bowel issues and explore whether sacral neuromodulation or pelvic floor therapy is right for you, don't wait any longer. Discover personalized solutions with expert guidance at The Continence Center at Nevada Surgical. Click here to learn more and take the first step towards regaining your freedom and dignity today!