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Initial Office Evaluation Initial Office Evaluation

Initial Office Evaluation - PowerPoint Presentation

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Uploaded On 2024-01-13

Initial Office Evaluation - PPT Presentation

Urinary Incontinence Urgency Frequency Nocturia Retention Fecal Incontinenceamp Urgency Bladder Pain Monthly Maintenance Therapy Alex Rogers MD Sansum Clinic Urology                ID: 1040192

bladder nerves symptoms side nerves bladder side symptoms incontinence urgency improvement retention amp dry effects weeks improve

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1. Initial Office EvaluationUrinary Incontinence, Urgency, Frequency, Nocturia, Retention, Fecal Incontinence& Urgency, Bladder Pain Monthly Maintenance TherapyAlex Rogers, MD Sansum Clinic Urology                4151 Foothill Road               Santa Barbara, CA 93110 Phone: 805-681-7564Outpatient Surgery1 to 2 week TrialInterStim Lead ProcedureUrgent PC TherapyClinic Treatment12 Weekly visits for 30 Minute sessionsBotox TreatmentClinic ProcedureCystoscopic Needle Injection 5% Retention RateIf unsuccessfulSymptoms should improve >50% with conservative treatments or meds. If you experience <50% improvement in symptoms you should consider other treatment options below. Re-Evaluation in the OfficeTrial of a Medication SampleBeta Agonist for 4 weeks  Rare Side Effects: HTN, HeadachesAntiCholinergic for 2 weeks  Common Side Effects: Dry Mouth, Dry Eyes, ConstipationConservative TreatmentsFluid & Irritant Reduction, Timed Voiding, Physical Therapy5 to 7 Year Battery LifeInterStim PacemakerPlacementIf unsuccessfulRepeat TreatmentsUsually every 6 to 11 months

2. “Bladder control is impacted by both the muscles and the nerves.  We offer an out patient surgical test to see if your symptoms will improve by stimulating the nerves. Medications affect the bladder muscle but InterStim treats the nerves.” Superior Symptom Improvement