Urgent PC: Percutaneous Tibial Nerve Stimulation
Percutaneous tibial nerve stimulation (PTNS), also referred to as Urgent PC is the least invasive forms of neuromodulation used to treat overactive bladder (OAB) and the associated symptoms of urinary urgency, urinary frequency and urge incontinence. These urinary symptoms may also occur with interstitial cystitis. PTNS is also used to treat fecal incontinence.
PTNS can be used as a primary therapy. However, treatment for Overactive Bladder and Fecal Incontinence begins with conservative therapies including pharmacology. There are a variety of OAB drugs available that generally produce similar overall efficacy and side-effects. Nearly 80% of patients discontinue use (mean of 4.8 months) of drugs within the first year with as high as 17% of discontinuation being due to adverse side-effects. Neuromodulation is emerging as an effective modality to treat patients who are not successful with conservative methods and its demonstrated efficacy has been the topic of multiple publications.
PTNS Treatment with Urgent PC: Non-drug, Non-surgical Treatment for Overactive Bladder.
What is Urgent PC?
The Urgent PC Neuromodulation System is a minimally invasive way to improve bladder control in men and women. Urgent PC uses percutaneous tibial nerve stimulation (PTNS) to treat overactive bladder and associated symptoms of urinary urgency, urinary frequency and urge incontinence.
The Urgent PC Neuromodulation System is a combination of a stimulator and a lead set. The stimulator generates electrical impulses that are delivered to the patient through the lead set.
What can I expect from treatment with Urgent PC?
During treatment you will sit comfortably with a slim needle electrode temporarily inserted in your ankle. The stimulator is attached to the needle electrode and delivers mild electrical impulses that travel up the nerves in the leg to the nerves that control the bladder. After turning on the stimulator, your clinician will observe your body’s response to determine the ideal strength of the impulses.
Each of your treatments will last approximately 30 minutes. You will receive an initial series of 12 treatments, typically scheduled about a week apart. After the initial 12 treatments, your clinician will work with you to determine a personal treatment plan to maintain your results with occasional treatments.
What will I feel during Urgent PC treatment?
Because patients may experience the sensation of the Urgent PC therapy in different ways, it’s difficult to say what the treatment would feel like to you. However, treatment with Urgent PC is typically well-tolerated by patients. Urgent PC offers many different levels of stimulation, so your clinician will be able to adjust treatment to suit you as well as address any discomfort that you might experience during treatment.
How soon will I see results?
Because Urgent PC gently modifies the signals to achieve bladder control, it may take 4-6 treatments for you to see your symptoms change. A majority of individuals using this type of neuromodulation experience significant improvement in their bladder control symptoms. It is important that you continue receiving treatments for the recommended 12 treatments before you and your clinician evaluate whether this therapy is an appropriate treatment for your symptoms.
What are the risks associated with Urgent PC?
Most common side-effects are temporary and minor resulting from the placement of the needle electrode. They include minor bleeding, mild pain and skin inflammation.