Posted on Mar 24, 2015 2:01:00 PM by Leslie Wooldridge, GNP-BC, CUNP, BCIA-PMD

Role of the Advanced Practice Nurse with PTNS

Administering PTNS and Advanced Practice Nurses

The Advanced Practice Nurse (APN) plays a very important role in any Urology office. Advanced assessment andRole of the Advanced Practice Nurse with PTNS evaluation are key skills that each APN possesses. When it comes to overactive bladder (OAB), differential diagnosis becomes essential in not only getting the diagnosis right, but the treatment as well.  

There is a terrific arsenal of treatment options included in the AUA/SUFU guideline for treating OAB once the correct diagnosis is made.

APNs and Routine OAB Treatments

Having the APN in the office provides versatility in treating these patients. Independent practitioners, such as APNs, require collaboration with the MD/DO but are able to practice under their particular state’s licensing laws.  

It is becoming increasingly important for physicians to rely on APNs for the administration of some of the more routine procedures like PTNS. PTNS is a safe, minimally invasive, office-based form of neuromodulation with minimal to no adverse events.

Making the Most of Your Staff

Make the most of your staff by providing the entire algorithm of care for the OAB patient. PTNS has been demonstrated clinically to be an effective 3rd line treatment option for refractory overactive bladder. PTNS is also routinely administered by nurses, incident to, APNs across the country.

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. Models are for illustrative purposes only. Urgent is a registered trademark of Cogentix Medical © 2015 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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