Posted on Sep 14, 2015 11:52:00 AM by Cogentix Medical

Understanding Urgent PC: Examining The PTNS Pathway


So, the doctor says to the patient, “I can treat your Overactive Bladder, but you’re going to have to show me your ankle.”

That’s not the start of a poorly written joke. It’s the reality of percutaneous tibial nerve stimulation (PTNS) delivered by the Urgent PC Neuromodulation System. Urgent PC is a therapy proven effective in restoring patient quality of life and reducing the debilitating symptoms of OAB, which include urinary frequency, urgency, urge incontinence and nighttime voiding – and it’s delivered by inserting a thin needle electrode in the skin near the patient’s ankle.

The amazing thing about our bodies is that things are all interconnected. As healthcare professionals, you know it’s not just the toe bone, connected to the foot bone, which is connected to the heel bone. There are incredible nerve networks throughout your body. For example, the tibial nerve is associated with the lumbar-sacral nerves (L4-S3), which control the bladder detrusor and pelvic floor, thereby allowing the bladder to relax and contract in order to store and release urine.

What makes PTNS such a great therapy is that the tibial nerve is so easily accessible. During Urgent PC therapy, a thin needle electrode is temporarily inserted into the skin near the ankle. The electrode is attached to an external battery-powered stimulator, which produces a low voltage constant frequency of 20 Hz with adjustable electrical pulse <10mA. The impulses travel to the sacral nerve plexus via the tibial nerve. It’s a gentle approach and it takes time but it works.

The following video shows how the procedure works:

Initial PTNS treatment via Urgent PC therapy consists of 12 weekly, 30-minute treatments. Patients often report improvement in their symptoms after 4-6 sessions. However, 12 sessions are usually needed to achieve maximum results. Up to 80% respond to therapy, and people can maintain their results with a treatment about once a month.

Once you think about how things are interconnected, it’s really not all that surprising that this indirect approach can have a direct impact on people’s quality life. Since 2003, Urgent PC therapy has been proven time and time again to be the pathway to success for many OAB patients.

Urgent PC for OAB

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

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