URINARY INCONTINENCE

Regain Control of Your Bladder & Bowel
Here at OACC, we are dedicated to providing excellent clinical care & want to ensure that you are aware of the latest treatment options available. If you are suffering with overactive bladder, bowel incontinence, or urinary retention, we are excited to inform you that we are now offering Axonics Therapy.

Overactive bladder affects an estimated
50 million people in America
OACC partnered with Axonics® Therapy to provide you a solution
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UNDERSTANDING YOUR CONDITION
Your symptoms may be caused by the following conditions:
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Overactive bladder (OAB)
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Sudden urges to urinate and unable to hold or control it
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Urinary retention (UR)
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Difficulty urinating and incomplete bladder emptying
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WHAT IS OVERACTIVE BLADDER?
The frequent and urgent need to empty your bladder. This often results in unintentional urine loss. There are four distinctions for overactive bladder: urinary frequency is when a person urinates usually eight or more times in a day, urinary urgency is a sudden urge to urinate that is difficult to control, urge incontinence is the involuntary loss of urine, and nocturia is the awakening for two or more times in the night to urinate.
WHAT HAPPENS WITH OVERACTIVE BLADDER?
OAB symptoms may occur because of abnormal communication between the brain and the bladder. This may lead to the feeling of an urgent need to urinate and an unwanted bladder contraction. You may need to rush to the restroom and even leak or lose urine before you make it.

DON'T LET YOUR CONDITION
AFFECT YOUR QUALITY OF LIFE
TREATMENT OPTIONS
Overactive bladder treatment begins with a simple consult with an OACC provider. You will discuss your symptoms, start a baseline diary of symptoms, undergo a test for diagnosis, and discuss possible further treatment options. Following the consult will be the initial treatment, where you will be taught bladder training exercises and beneficial lifestyle changes; prescription medications may be recommended if necessary. Lastly, a follow-up with our providers will help monitor progress.
Urinary retention treatment begins with a simple consult entailing the same initial steps. The initial treatment for urinary retention will initiate behavioral management. Our providers will continue with the follow-ups to monitor progress, then continue on to possible advanced therapies.
ADVANCED TREATMENT OPTIONS

Sacral neuromodulation
SNM modulates the activity of the sacral nerve, which helps to restore bladder and/or bowel control. The therapy is trialed in a simple in-office procedure. If the trial is successful, a permanent implant is placed that can provide therapy for 5 to 15 years.

Percutaneous tibial nerve stimulation
PTNS delivers electrical stimulation provided through a needle placed above your ankle. In-office treatment: 12 weekly sessions for 30 min each. Responses usually observed in 5-6 sessions.

Chemodenervation (botox) injections
Botulinum A toxin is injected into the bladder, helping relax the muscles of the bladder. Botox is injected into the bladder wall via in-office procedure. Needs to be repeated on average every 6 months.
RESULTS WITH AXONICS THERAPY
89%
89% of patients achieved clinically significant improvements in incontinence symptoms at 1 year
93%
One year after their implant, > 90% of patients were satisfied with their results
92%
92% would undergo the therapy again with the same expected results
An Introduction to
Sacral Neuromodulation
