Posted on Aug 22, 2016 9:47:58 AM by Diane K. Newman, DNP

Creating a Nurse-Driven Urology Revenue Center for Urgent PC

My Search for Effective and Revenue-Generating Therapies in Urologic Nursing

I have been practicing as a nurse practitioner in urology for the past 30+ years.  I have always looked for areas in urology where I could make a difference.  I have developed expertise in treatment of chronic urology A nurse helping a patient prior to procedureconditions with non-surgical treatment; biofeedback therapy, pessary fitting, etc. When I was introduced to Urgent® PC percutaneous tibial nerve stimulation (PTNS) for the treatment of overactive bladder, I reviewed the evidence as to its effectiveness and learned it was a safe and virtually non-invasive treatment that could be performed in a urology practice.  I looked at it as another opportunity for a urology nurse to help patients suffering from overactive bladder and who have failed first-and second-line treatment.  But I also saw it as adding a new treatment for my practice that would NOT be a revenue-losing but a revenue-generating service. 

Urgent PC is a Tailor-Made Treatment for a Urology Nurse’s Practice

Urgent PC allows me to provide another service and increase patient visits, basically to fill up my schedule. My specialty practice involves non-surgical treatment for pelvic floor muscle rehabilitation. I provide first-line treatments for OAB but not all patients find success from those treatments. So having the ability to offer another treatment to those whose symptoms did not improve gives me immense satisfaction as a urology nurse. I have been able to see Urgent PC improve and eliminate OAB symptoms in my patients. 

Incorporating Urgent PC into my Practice

When I decided to provide Urgent PC, I found it easy to incorporate the treatment into my practice. I schedule the treatments in my regular schedule, as I find it more cost-effective and time-efficient to see other patients while the PTNS patient is receiving their 30-minutes of stimulation. First, I meet with the PTNS patient, review progress, and start the treatment. Then, I go to see the next patient and, 30 minutes later, finish up with the PTNS patient.  My Urgent PC practice has grown and, as these are weekly treatments, I have trained other nurses in the practice to perform the treatment.  This maintains those weekly treatments.  I have been successfully providing Urgent PC for the past 3 years. I believe that every urology nurse should be providing this treatment in their practice.

Urgent PC for OAB

This blog post reflects the opinions and experience of Diane Newman, 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 Models are for illustrative purposes only. Urgent is a registered trademark of Cogentix Medical © 2016 Cogentix Medical. All rights reserved. 

Diane K. Newman, DNP
Diane K. Newman, RNC, MSN, CRNP, FAAN, a certified nurse practitioner, is Co-Director of the Penn Center for Continence and Pelvic Health, Division of Urology, University of Pennsylvania Medical Center, in Philadelphia and an Instructor in the School of Medicine at the University of Pennsylvania. Diane is an internationally known speaker on the topic of urinary incontinence and the use of devices and products for the management of incontinence. In 2002, the National Association for Continence (NAFC) presented her with the Continence Care Champion Award.
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