Managing Treatment for PTNS Patients
Face it, we live in a quick fix society. With drive-thru lanes and 30-minute oil changes, it’s easy to get caught up in the now, now, now mentality. I want a greasy burger – now. I want my car fixed – immediately. However, most people still realize that better things are worth the wait – like a gourmet meal at a top restaurant, a weight-loss plan that will actually stand the test of time, or a quality repair that will last for years.
The same holds true for treatment of overactive bladder (OAB). Clinical trials and studies clearly show that percutaneous tibial nerve stimulation (PTNS) via the Urgent PC Neuromodulation System is an effective, non-invasive treatment for OAB patients. Still, because the treatment involves retraining the bladder and mind to act differently, it takes some time to see full results. In other words, your patients will need a little patience. In the final article of our series, Urgent PC By The Numbers, we look at the Urgent PC treatment schedule.
Know The Numbers
There are multiple numbers to keep in mind while guiding your patients through the treatment process. First and foremost, remember that 60-80% of patients respond to this treatment, but it’s not a quick fix, so it’s also important to understand these numbers:
- 12 Treatments
The initial treatment plan calls for twelve, weekly, half-hour office visits. Patients should receive all twelve treatments before deciding whether or not the treatment is working.
- 6-7 Weeks Until Improvement
Many patients start to see improvements after six weeks of treatment. However, many patients respond later. In fact, although one study showed the average patient responded after 6 treatments, it also showed that a substantial number of patients achieved treatment success between weeks 8 and 12 of therapy.
It’s also important to understand that for many patients the full impact isn’t recognized until the end of the treatment cycle. Data from the trial showing Urgent PC compared to Sham shows the most significant improvement in OAB symptoms, regardless of age or gender, occurs between weeks 7 and 13.
- 3-4 Week Follow-Up After Initial Series
Make sure you schedule a follow-up evaluation 3-4 weeks from the completion of the initial series of treatments. This is a great opportunity to evaluate how Urgent PC patients are able to maintain their improvement with less frequent treatment. If they are doing okay at 3 weeks, do a PTNS treatment and then schedule the next treatment for 4 weeks out. The goal is to extend time between treatments while also continuing to maintain their improvements.
- 3.1 Weeks Between Maintenance Treatments
In the STEP clinical study, patients on PTNS maintenance therapy were able to maintain symptom relief with a treatment every 3.1 weeks. In clinical practice, the time between treatments is individualized, with some patients going months between treatments. However, it’s important to let patients know that they will likely need to receive maintenance treatments on an ongoing basis.
- 1 Million+ Treatments
To paraphrase an old credit card commercial, patience has its rewards. Urgent PC has been used in more than 1 million treatments, providing patients with relief from refractory OAB with no serious side-effects.
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.