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We provide state-of-the-art surgical and nonsurgical diagnosis and treatment of the genitourinary system. Our urologists' combined experience, skill, and compassion enables us to give patients the highest quality urologic care.

About Overactive Bladder (OAB)?

Overactive bladder is very common and affects one in six men and women in the United States.  Many people think that as you age, it’s normal to get a bladder-control problem. However, your bladder- control problem may be a medical condition called overactive bladder (OAB).

With OAB, the bladder muscle squeezes too often or when you don’t want it to, sending “false alarms” before the bladder is full.  This can cause you to have frequent, strong urges to urinate or even to have wetting accidents.

You may experience symptoms of OAB in your early 30s and 40s.  Many of these symptoms can be treated through:

  • Behavior modification (i.e. monitoring fluid intake)
  • Pelvic muscle strengthening
  • Drug therapy
  • Neurostimulation of nerves that control the  bladder

Westmed has been designated as a center of excellence in the Tri-State area for performing tibial nerve stimulation (neuromodulation) for patients with overactive bladder, urinary urgency or urinary frequency.  Our comprehensive team members are pioneers in this cutting-edge technology. Neuromodulation is a simple, effective, office-based treatment for those with an overactive bladder.

What is Neuromodulation?

Bladder function is regulated by a group of nerves at the base of the spine called the sacral nerve plexus. By stimulating these nerves through gentle electrical impulses (neuromodulation), the treatment can change your bladder activity.  Up to 80 percent of patients respond positively to the therapy.

The Urgent PC Neuromodulation System provides a low-risk, in-office procedure that indirectly stimulates the nerves responsible for bladder function using a nerve in your lower leg, thereby affecting your OAB symptoms.  By stimulating these nerves, your bladder activity can be changed and results in:

  • Reduced number of bathroom visits during the day and at night
  • Decreased number of incontinence episodes



What can I expect from neuromodulation treatment?

You will receive an initial series of 12 treatments, typically scheduled a week apart.  Each treatment will last approximately 30 minutes.  After the preliminary 12 sessions, you and your Westmed urologist will discuss your response to the therapy and determine how often you will need future treatments to maintain your results.


How soon will I see results?

Because neuromodulation gently modifies the signals to achieve bladder control, it will probably take at least six treatments for you to see your symptoms change.  A majority of individuals using this type of stimulation experience significant improvement in their bladder control.  It is important that you continue receiving treatments for the recommended 12 treatments before you and your physician evaluate whether this therapy is an appropriate treatment for your symptoms.

What are the risks associated with neuromodulation?

The risks associated with this type of nerve stimulation treatment are low.  Potential side effects include discomfort or bleeding at the stimulation site.

Take our quiz to determine if you have overactive bladder. Speak with a Westmed urologist to learn more and to see if neuromodulation is right for you.