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Percutaneous tibial nerve stimulation (PTNS), also referred to as posterior tibial nerve stimulation, is the least invasive form of neuromodulation used to treat overactive bladder (OAB) and the associated symptoms of urinary urgency, urinary frequency and urge incontinence.
Before implantation of a sacral nerve stimulator patients are required to have failed more conservative therapy. [3] Patients should be counseled on diet modification, exercises to strengthen pelvic floor muscles, targeted injections and medications that could help improve their incontinence. [3]
Overactive bladder is characterized by a group of four symptoms: urgency, urinary frequency, nocturia, and urge incontinence. Urge incontinence is not present in the "dry" classification. [12] Urgency is considered the hallmark symptom of OAB, but there are no clear criteria for what constitutes urgency and studies often use other criteria. [1]
Treatment often depends on the cause. Learn more. There are several common causes of urinary incontinence, which can be a short or long-term problem. Treatment often depends on the cause. Learn more.
In more extreme cases, taking medications, getting Botox injections, and even having surgery may help, per the NIDDK. Pelvic floor physical therapy can also help to strengthen the muscles involved ...
Tolterodine, sold under the brand name Detrol among others, is a medication used to treat frequent urination, urinary incontinence, or urinary urgency. [5] Effects are seen within an hour. [6] It is taken by mouth. [6] [7] Common side effects include headache, dry mouth, constipation, and dizziness. [6]
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