Unique Treatment for Overactive Bladder Video Lecture | Understanding Accupressure and Different Body Points - Health & Fitness

essentially overactive bladder is
urinary frequency urinary urgency and
urinary urgent continence overactive
bladder is extremely common it's thought
that maybe about thirty to fifty percent
of all women at some point will have
your in leakage and it significantly
impacts quality of life
urgent PC is a device which allows us to
stimulate the tibial nerve and access
the sacral plexus for the treatment of
overactive bladder the system involves a
lead a small electrode lead and as well
as a stimulator so there's a small
needle sort of like an acupuncture
needle that you place in the ankle it's
behind the ankle bone and it's an office
procedure it's attached to a stimulator
which then sends impulses up the tibial
nerve so up the leg and accesses a
sacral plexus which is the nerve plexus
which regulates a module it modulates
bladder function
everybody feels something a little
differently usually a little stimulation
or throbbing maybe in the ankle or foot
but the device allows us to modulate the
amplitude so we could either decrease or
increase the signal and the amount of
sensation that they feel
we're not exactly sure how it works but
it works at the level of the nerves
which supply the bladder so just for
example the medications that we use to
treat overactive bladder decrease or
relax decrease bladder spasm or relaxed
bladder muscles so in a way it works at
the level of the bladder muscle but this
device works at the level or targets the
bladder at the level of the nerve so a
little higher up in the signal generally
about 70% of people respond to the
treatment and what that means exactly is
that they find 50 percent improvement in
their symptoms so the studies have
looked or have defined success as 50
percent as decrease in their symptoms of
either frequent urination nighttime
voids or urgency or incontinence
episodes
basically people who have overactive
bladder who have failed conservative
management or who can't take who can't
do conservative management so
conservative management for overactive
bladder our Kegel exercises pelvic floor
muscle physical therapy behavioral
dietary modifications as well as
medications so for somebody who's for
example failed medications and also
failed physical therapy they would be
perfect candidates for this treatment
some people can't take medications and
for those people who can't take
medications and may also have failed
Kegel exercises they would be also good
candidates for the streamlet it's an
office procedure you come in once a week
for 12 sessions each session is 30
minutes long takes about 4 to 6 weeks
before they will see effectiveness
because the modulation is just a gentle
stimulation if you will to the nervous
system so it does take a few weeks to
see effectiveness and it's important to
do the treatment for the entire 12 weeks
because maximal effectiveness is seen as
time goes on
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