Posted on Aug 1, 2015 7:22:00 AM by Rebecca Anderson

OAB Treatment in Senior Living Facilities

UPC deviceUrgent® PC is a proven therapy for overactive bladder (OAB) symptoms that is easily incorporated into a variety of clinic settings including Continuing Care Retirement Communities (CCRC) and other Senior Living facilities. It is effective in up to 80% of patients, has minimal side-effects and can be delivered by appropriate senior care staff under a physician's direction. 

As you are aware, frequent bathroom trips, especially at night, and incontinence episodes can have a huge impact on a residents' quality of life and health as well as the revenue for the facility. While there are oral medications to treat OAB and the symptoms of urgency, frequency and urge incontinence, there are significant concerns about the safety of anticholingergics, especially when used in the elderly. Fortunately, the Urgent PC Neuromodulation System is available to deliver percutaneous tibial nerve stimulation therapy (PTNS) to OAB patients who don’t respond to other treatments.

Urgent PC is a non-drug, in-facility treatment for Overactive Bladder

Urgent PC is a very portable therapy, only requiring the hand-held Urgent PC Stimulator and a disposable Urgent PC Lead Set. During treatment, the patient sits comfortably, fully clothed with a foot elevated. A slim 34-gauge needle electrode is temporarily placed at a 60-degree angle near the ankle and then connected to an external stimulator which produces mild electrical impulses which travel through the lead set then up the tibial nerve to the sacral nerves, which are responsible for pelvic floor function and voiding. Depending on your facility, Urgent PC may also be a therapy that could be administered to multiple residents at once in a group setting. 

The treatment is recommended in the American Urological Association (AUA) guideline for the treatment of OAB and has seen widespread use by Urologists and other clinical specialists since 2003. The treatment begins with 12 weekly, 30-minute treatments. After the initial 12 sessions, successful patients usually need about one treatment a month to sustain symptom improvements. 

Effective, even in the elderly

Urgent PC has proven clinically effective in up to 80% of patients, regardless of age or gender. After more than 50 studies, it is clear that Urgent PC improves quality of life. Treatment decreases urinary incontinence episodes and nightly bathroom trips, noteworthy results given the new research linking OAB and dangerous falls.

Urgent PC is a minimally-invasive treatment with no severe adverse events. It is an ideal option for patients who cannot tolerate drug side-effects. Plus, it works great on older patients. An abstract presented at the 2014 SUFU Winter Meeting evaluated the efficacy of PTNS in octogenarians. 31 Cleveland Clinic patients were included (12 more than 80 years old), and the study found no significant difference in success measured defined by improvement during the initial 12 weeks of PTNS therapy, continuation of ongoing therapy or subjective improvement on IIQ-7/UDI-6 questionnaire scoring

Facility considerations

Senior care facilities expend staggering amounts of extra resources in staff time and budget to care for residents with incontinence and OAB. The costs of absorbent pads, laundry, bed alarms, nursing time, medications and ointments all add up, not to mention the risks of residents rising multiple times overnight. A study presented at the 2015 AUA Meeting showed a correlation between OAB and an increased likelihood of falls. People with an OAB diagnosis had a 40% higher risk of falling compared to people without an OAB diagnosis, while OAB treatment reduced their fall risk compared to those who did not receive treatment.

With all of these factors in mind, adding Urgent PC to a facility’s bladder health program can be helpful to both the patients and the facility.

To learn more about Urgent PC, click the following links: 

 Senior Living OAB Report

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

Rebecca Anderson
Rebecca Anderson has been a marketer in the healthcare industry for over fifteen years, the last ten of which have been focused on Urgent PC and other products from Cogentix Medical. Rebecca has a special fondness for Urgent PC, having been part of the Uroplasty team that launched the product to U.S. and International markets.
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