Blog

As the director of a Continence Center, I am dedicated to staying at the forefront of advancements in the treatment of incontinence. Over the past few years, significant progress has been made in addressing both urinary and fecal incontinence—two conditions that significantly impact the quality of life for millions of people worldwide. While there are numerous treatments available, the newest and most effective therapy to…
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As the director of a continence center, I understand how frustrating and life-altering incontinence can be. Patients often ask, “Does incontinence ever go away?” Unfortunately, incontinence is a progressive condition, which means it typically only worsens with time unless you take steps to manage it. While bladder or bowel leakage can be challenging, it is highly treatable, and most patients experience significant improvement or even…
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As an experienced surgeon and the director of a bariatric center, I have witnessed the profound and life-changing impact that bariatric surgery can have on people—and it extends well beyond just weight loss. While the reduction in body weight is often the most visible outcome, the real transformation lies in how this surgery enhances overall well-being, both physically and emotionally. Here are the five top…
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Bariatric surgery, a collection of weight-loss procedures aimed at altering the digestive system to help patients lose weight, has long been a subject of both hope and concern. Over the past few decades, these surgical interventions have become increasingly popular among individuals struggling with severe obesity and related comorbidities such as diabetes. While the initial risks associated with bariatric surgery were significant, advancements in medical…
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Sacral neuromodulation (SNM) has emerged as a revolutionary treatment for both urinary and fecal incontinence, offering significant benefits with very few side effects. As the director of The Continence Center here in northern Nevada, I have found that one of the most appealing aspects of SNM is its favorable safety profile. While every medical treatment carries some potential risks, sacral neuromodulation tends to be associated…
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As a bariatric surgeon and director, one of the most common questions I receive from patients is, "How quickly can I get bariatric surgery?" The timeline for bariatric surgery varies depending on several factors, including medical, insurance, and program-specific requirements. While it’s natural to want to undergo surgery as soon as possible, it’s important to understand that at least some of the process is designed…
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Incontinence affects well over 25 million adults in the United States—even if many manage the symptoms in silence because they're largely unaware of the most effective treatments. Far too many people manage their incontinence with adult pads and diapers. As you might image, the economic landscape surrounding incontinence management is therefore characterized by rising expenditures on disposable or reusable products. The cost implications are enormous,…
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Someone recently posed this question on social media: If the first procedure went well, why might someone need revision surgery after bariatric surgery? We caught up with Dr. Sasse for an answer. Revision Surgery After Bariatric Surgery: Why? The science and our understanding of obesity and metabolism has a long way to go. We have learned many of the key mechanisms that lead so many…
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Today, neuromodulation exists at the intersection of biology and physics to resolve overactive bladder and incontinence using a 20-minute, painless procedure with a 93% success rate. So how did we get here, and where did this life-changing medical technology come from? Neuromodulation—the process of altering nerve activity through targeted electrical or chemical stimuli—has a fascinating, not to mention, ancient, history. Development of Modern Neuromodulation Techniques…
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Incontinence is the involuntary loss of bladder or bowel control. It's a prevalent and often debilitating condition that affects millions of people worldwide. It can significantly impact the quality of life, leading to physical discomfort, social embarrassment and emotional distress. But how is incontinence managed? Traditionally, incontinence management involved lifestyle changes, medications, pelvic floor exercises, and, in more severe cases, surgical interventions. But a breakthrough…
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