Remember the 3 Cs:
1. Complete the therapy.
Complete all 12 sessions of NURO™ for the best chance to find relief with PTNM.
2. Continue lifestyle changes you have discussed with your doctor.
Just because you are receiving an advanced therapy like NURO does not mean you should stop some of the small lifestyle changes that your physician recommended.
Your doctor may have talked to you about diet and exercise, bladder retraining, or pelvic floor strengthening — all of which may help improve your OAB.1
If you have questions about lifestyle changes for OAB management, ask your clinician.
3. Communicate with your doctor.
The journey to OAB relief may be frustrating, but there are several therapies that may help. Hopefully NURO will help you find life changing relief, but if not please be sure to check back with your physician to learn about other options.
For such a simple organ, the bladder is complicated. To work properly, it requires the coordination of several parts of the brain and both voluntary and involuntary muscle movement. While it’s not clear what causes overactive bladder (OAB) in the first place, research suggests that OAB is linked with poor brain-bladder communication.2 PTNM is thought to restore these lines of central nervous system communication. But it can only do so gradually.
When progress is slow and steady, it can be easy to forget where you started — and how far you’ve come. We encourage you not to quit PTNM therapy without talking to your doctor first. If you have concerns at this point in the process, make an appointment to see them right away.
PTNM therapy is proven to significantly reduce urgency-frequency and urge incontinence episodes per day.3 You may not see improvement in your symptoms right away and that’s normal. For some people, results may not be obvious until the end of the 12 weekly sessions.
The most common side effects of PTNM are temporary and include mild pain and skin inflammation at or near the stimulation site.
Patients have been treated with PTNM (also known as PTNS) therapy since 2005. The Medtronic NURO™ system was launched in 2016.
If you are responding well to PTNM, you can continue with maintenance therapy for long-term treatment. When you are on maintenance therapy, treatments are scheduled every three to four weeks, rather than every week.
Another long-term treatment option is sacral neuromodulation with the implanted InterStim™ system. Click the button below to learn more.
Gormley, E. A., D. J. Lightner, et al. (2015). Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline amendment. J Urol 193(5): 1572-1580.
Leng WW, Morrisroe SN. Sacral nerve stimulation for the overactive bladder. Urol Clin N Am. 2006;33:491-501.
Kobashi K, Nitti V, Margolis E, et al. A Prospective Study to Evaluate Efficacy Using the NURO Percutaneous Tibial Neuromodulation System in Drug-Naïve Patients With Overactive Bladder Syndrome. Urology. 2019 Sep;131:77-82.
Medtronic NURO™ Percutaneous Tibial Neuromodulation (PTNM) treats overactive bladder and associated symptoms of urinary urgency, urinary frequency, and urge incontinence. PTNM is not intended 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 on patients who are pregnant or planning pregnancy. Do not use if the skin in the area of use is compromised. Exercise caution for patients with heart problems. Adverse events are typically temporary, and include mild pain, minor inflammation and bleeding near treatment site.
This therapy is not for everyone. Please consult your physician to decide whether PTNM is right for you. A prescription is required. For further information, please call Medtronic at 1-800-328-0810.
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Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.