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BackTable / Urology / Podcast / Episode #110

Neurostimulation for Overactive Bladder: What's New

with Dr. Suzette Sutherland

In this episode of BackTable Urology, Dr. Jose Silva and Dr. Suzette Sutherland, director of Female Urology at the University of Washington in Seattle, discuss new therapies for overactive bladder (OAB).

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Neurostimulation for Overactive Bladder: What's New with Dr. Suzette Sutherland on the BackTable Urology Podcast)
Ep 110 Neurostimulation for Overactive Bladder: What's New with Dr. Suzette Sutherland
00:00 / 01:04

BackTable, LLC (Producer). (2023, August 9). Ep. 110 – Neurostimulation for Overactive Bladder: What's New [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Suzette Sutherland discusses Neurostimulation for Overactive Bladder: What's New on the BackTable 110 Podcast

Dr. Suzette Sutherland

Dr. Suzette Sutherland is the director of female urology with UW Medicine in Seattle, Washington.

Dr. Jose Silva discusses Neurostimulation for Overactive Bladder: What's New on the BackTable 110 Podcast

Dr. Jose Silva

Dr. Jose Silva is a board certified urologist practicing in Central Florida.

Synopsis

First, they describe the symptoms of OAB which include an increased frequency and urgency of urination, sometimes leading to urinary incontinence. Conservative measures include pelvic floor exercises, diet, and lifestyle changes. If patients fail conservative measures, urologists can prescribe anticholinergics. However,beta agonists are preferable because they do not cross the blood-brain barrier. Then. the doctors briefly chat about the use of these agents in Alzheimer disease patients as well, which may be dependent on insurance approval.

Next, Dr. Sutherland summarizes surgical devices to treat OAB and the clinical trials supporting each of them. Sacral nerve neuromodulation is a device that has been on the market for years, but newer models that include fixed and rechargeable batteries are starting to become more available. Additionally, the Neuspera is a sacral nerve neuromodulation that operates wirelessly through Bluetooth. The doctors also compare the two existing models of sacral neuromodulation (Medtronic vs. Axonics).

One newer surgical treatment is tibial nerve stimulation, and Dr. Sutherland summarizes her placement technique, voltage settings, intraoperative testing, and the importance of a healthy ankle evaluation prior to placing the device. promising results, in-office, sedation, healthy ankle evaluation. She also notes that repositioning the leads in sacral and tibial neuromodulation in a followup visit may be necessary. Finally, she shares about Fempulse, vaginal stimulator mimicking a pessary, that is still being tested in research trials.

Resources

Wellprept
​​https://wellprept.com/

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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Articles

Topics

Overactive Bladder Condition Overview
Urinary Incontinence Condition Overview

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