Posted on Feb 23, 2015 10:33:00 AM by Cogentix Medical

Identifying Potential Patients

Do You Have Candidates for Urgent PC Treatment In Your Practice?

PTNS Pt Spectrum.pngThe reality is that most OAB patients do not meet their treatment goals with initial therapies, leaving them frustrated not only by their OAB symptoms but also by the lack of a resolution.
Dr. Scott MacDiarmid, a urologist who specializes in treating patients with OAB says that even with medication, behavioral therapy and physical therapy, success rates have not been as high as what he had hoped for. “Even when you try multiple drugs and use aggressive behavioral therapy, at least 55-60% of people are not helped or do not reach their treatment goal.”

Fortunately, the AUA/SUFU recommends third-line therapies to treat these refractory OAB patients. Even better, Urgent PC offers patients hope without the severe side-effects of other third-line therapies. Urgent PC is minimally invasive and has limited side-effects. Better yet, it has been proven equally effective for men and women of all ages. 

Candidates for Urgent PC Therapy

Dr. MacDiarmid believes in giving patients a choice when it comes to third line therapy and presents the appropriate options. Since Urgent PC is low risk, and has few contraindications, it is an option for nearly all patients. Dr. MacDiarmid has found that rather than a surgical procedure, more patients were willing to choose a non-surgical, office-based procedure to help their OAB symptoms.

In particular, Urgent PC can be recommended for these challenging groups of patients:

  • Elderly or frail patients who may already have problems with dry eyes, dry mouth, constipation and cognitive changes that make them poor candidates for any OAB drug therapy.
  • Patients with mixed SUI and urge, looking for an effective therapy to keep their urge incontinence under control, even after they may have had a sling procedure to deal with SUI.
  • Patients with multiple co-morbidities such as hypertension, diabetes, post-prostatectomy or post-stroke patients who may pose additional challenges for effective OAB treatment. 
  • Patients who respond to drug therapy but not to that level that satisfies their expectations.
  • Patients who are not candidates or are unwilling to undergo surgery.
  • Patients who are unwilling to perform self-catheterization. 
  • Patients who are already receive BOTOX injections.

An “Ankle Tickle” and True Relief

Standard Urgent PC treatment begins with 12 weekly office sessions, each lasting 30-minutes. Thereafter, patients who respond can keep their symptoms in check with periodic maintenance treatments, usually about once a month. Dr. MacDiarmid describes the Urgent PC procedure as an “office tickle,” and says, “their toe might wiggle a little bit and they might feel a little vibration in their foot.” But the results of this little “ankle tickle” are impressive. The majority of patients see significant improvement in their OAB symptoms. In fact, Dr. MacDiarmid found Urgent PC to have helped 60-70% of his patients.

Dr. MacDiarmid includes Urgent PC as a standard option in treatment plans for his OAB patients. “If the drugs do not work they’re going to be immediately offered Urgent PC. It’s part of the treatment now. It’s probably one of the most gratifying things I do. Urgent PC is one of the major breakthroughs for Overactive Bladder in the last few decades.” 

Urgent PC for OAB

BOTOX is a registered trademark of Allergan, Inc.

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. Urgent PC is a registered trademark of Cogentix Medical © 2015 Cogentix Medical. All rights reserved. 

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