Advanced Treatments

Advanced bladder treatments are used when pharmacological and behavioral treatments fail.

These treatments can range from being minimally invasive to requiring surgery.

Sacral Neuromodulation

Stimulates the sacral nerve and is thought to normalize signals to the brain that influence control of the bladder and restores* natural bladder muscle contractions
  • Low-risk procedure
  • Can restore* bladder control
  • Patients can test results before permanent implantation
  • Thought to stimulate communication between the nervous system and bladder
  • Can be a long-term solution
  • The most common adverse events experienced during clinical studies included pain at implant sites, new pain, lead migration, infection, technical or device problems, adverse change in bowel or voiding function, and undesirable stimulation or sensations. Any of these may require additional surgery or cause return of symptoms.

*Restored bladder function is defined as ≥50% reduction in dysfunctional voiding symptoms from baseline.

Percutaneous Tibial Neuromodulation

A form of neuromodulation used to treat overactive bladder.
  • Non-surgical treatment
  • May restore* bladder control
  • Minimally invasive procedure
  • May not improve condition for all
  • Most common side effects are temporary and include mild pain or skin inflammation at or near the stimulation site.

*Restored bladder function is defined as a measurable reduction in urinary frequency and/or urinary incontinence episodes following treatment.

Intradetrusor OnabotulinumtoxinA

An injection to the bladder muscle that can temporarily relax contractions.

  • Can restore temporary bladder control
  • May lead to breathing, swallowing, speaking or breathing problems
  • Surrounding areas of injection may be adversely affected
  • May not relieve symptoms
  • Not a permanent solution

Mid-Urethral Sling

An invasive surgery where a sling is used to lift the urethra back to its normal position.
  • May provide long-term relief
  • Provides bladder support
  • Takes pressure off the bladder
  • Can cause bladder perforation and groin pain
  • Can lead to infections
  • Can cause internal bleeding
  • Sling may erode into organs
  • May cause pain during intercourse
  • Lengthy recovery time

Prolapse & Transvaginal Mesh

Invasive surgery that uses a transvaginal mesh to support prolapsed organs.
  • Can provide symptom relief
  • May be a permanent solution
  • Invasive procedure
  • Can cause bladder perforation
  • Can lead to infections
  • Can cause internal bleeding
  • May cause pain during intercourse
  • Lengthy recovery time

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Medtronic Bladder Control Therapy delivered by the InterStim™ system treats urinary retention (inability to completely empty the bladder) and the symptoms of overactive bladder, including urinary urge incontinence (leakage) and significant symptoms of urgency-frequency. It should be used after you have tried other treatments such as medications and behavioral therapy and they have not worked, or you could not tolerate them. You must demonstrate an appropriate response to the evaluation to be a candidate. You cannot have diathermy (deep heat treatment from electromagnetic energy) if you have an InterStim™ device.

This therapy is not intended for patients with a urinary blockage. Safety and effectiveness have not been established for pregnancy and delivery; patients under the age of 16; or for patients with neurological disease origins.

In addition to risks related to surgery, complications can include pain at the implant sites, new pain, infection, lead (thin wire) movement/migration, device problems, interactions with certain other devices or diagnostic equipment such as MRI, undesirable changes in urinary or bowel function, and uncomfortable stimulation (sometimes described as a jolting or shocking feeling).

Medtronic Bladder Control Therapy delivered by the NURO™ system treats overactive bladder and associated symptoms of urinary urgency, urinary frequency, and urge incontinence. This therapy 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.

These therapies are not for everyone. These treatments are prescribed by your doctor. Please talk to your doctor to decide whether these therapies are right for you. Your doctor should discuss all potential benefits and risks with you. Although many patients may benefit from the use of these treatments, results may vary. For further information, please call Medtronic at 1-800-328-0810 and/or consult Medtronic’s website at

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