Posted on Feb 2, 2016 3:15:00 PM by Leslie Wooldridge, GNP-BC, CUNP, BCIA-PMD

Continuing Urgent PC (PTNS) Treatments: How To Make It Work

Setting Patient Expectations for Urgent PC Maintenance Treatments

Once the twelve treatments of PTNS are completed and your patients are doing great, it seems like an easy sellKeep Going street sign to have them come back periodically. That is, if you told them from the beginning that this is an ongoing treatment, individualized to each patient’s needs.  

How Often Is Often Enough?

It might be monthly, every three weeks – or their symptoms may be severe enough that they may have to come back every week and/or be supplemented with medications. There are even those who come back quarterly for a “tune-up.”  

And, yes there are those who seem to never have to come back and are delighted beyond belief. However, long-term data suggests, in general, a treatment every 3-4 weeks will be needed.

Convincing Patients to Continue Urgent PC Maintenance

Have you had good luck in convincing your patients that ongoing treatment is going to be necessary to maintain continence and/or normal voiding frequency? If they are successful responders, the job seems easy until patients get tired of the frequent trips back to the clinic.  

There are a lot of rational responses. Maintaining improvement means less money in pads, more social freedom, better restful nights, etc. The best analogy I have for my patients is that it is like going to the grocery store. That is, at least a weekly chore and for the rest of your life unless you are fortunate enough to have won the lottery and hire your shopping out! I would love to only spend 30 minutes shopping each week!

Make sure your clinic hours are flexible and you are accommodating patient needs. These are simple solutions, but helpful and resourceful. Urgent PC for OAB

This blog post reflects the opinions and experience of Leslie Wooldridge, a long-standing user of the Urgent PC Neuromodulation System, and was produced under a paid consulting agreement with Cogentix Medical.

Urgent PC is indicated for the treatment of Overactive Bladder and associated symptoms of urinary urgency, urinary frequency and urge incontinence. Treatment with Urgent PC is contraindicated for patients with pacemakers or implantable defibrillators, patients prone to excessive bleeding, patients with nerve damage that could impact either percutaneous tibial nerve or pelvic floor function or patients who are pregnant or planning to become pregnant during the duration of the treatment. Most patients don't experience side-effects. If side-effects occur, they are typically temporary and include mild pain and skin inflammation at or near the stimulation site. Caution: Federal law (USA) restricts this device to sale by or on the order of a physician. For complete instructions for use, storage, warnings, indications, contraindications, precautions, adverse reactions and disclaimer of warranties, please refer to the insert accompanying each product or online at www.cogentixmedical.com. Model is for illustrative purposes only. Urgent is a registered trademark of Cogentix Medical © 2016 Cogentix Medical. All rights reserved. 

Leslie Wooldridge, GNP-BC, CUNP, BCIA-PMD
Leslie Saltzstein Wooldridge, GNP-BC, CUNP, BCIA-PMD, is Director of the Adult Bladder Control Center, Mercy Health Partners, Muskegon, Michigan USA. Ms. Wooldridge received a Master of Science degree in nursing administration, critical care nursing and postgraduate certification as a Geriatric Nurse Practitioner from Marquette University, Milwaukee, Wisconsin. In 2015, she was honored with the Women’s Health Foundation Activist Award. She is also the recipient of the 2009 National Association for Continence Rodney J. Appell Continence Champion Award. Ms. Wooldridge has published in multiple refereed journals. She authored the Genitourinary chapter in The Nurse Practitioner in Long Term Care: Guidelines for Clinical Practice (2007). She has lectured throughout the United States on geriatrics, urology and clinical practice.
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