InterStim OAB Treatment - Take Back Your Life.

InterStim for OAB

InterStim OAB Treatment - Take Back Your Life.

InterStim for Overactive Bladder (OAB)

New Jersey Urology offers new solutions to patients who suffer from incontinence thanks to technology advancements in sacral neuromodulation (SNM) therapy from Medtronic.

The FDA recently approved the new InterStim™ Micro neurostimulator and InterStim SureScan™ MRI leads. InterStim Micro — the market’s smallest rechargeable sacral neuromodulation therapy device — treats overactive bladder (OAB), fecal incontinence (FI) and non-obstructive urinary retention. The InterStim SureScan MRI leads are used with InterStim Micro and with the recharge-free InterStim II, and allow conditional full-body 1.5 and 3 Tesla MRI scans*.

Patients and physicians now have a choice in InterStim systems — both with conditional full-body MRI — to match the patient’s preferences, lifestyle and treatment goals. The InterStim™ II recharge-free system offers patients freedom from a recharging routine, the hassle of recharging components, and a reminder they have a disease. The new rechargeable InterStim™ Micro system may be preferred by patients who want a smaller, longer lasting device.

InterStim family of products
InterStim Family of Products

The new InterStim™ Micro

Is 50% smaller (2.8 cm3) than the market’s other rechargeable SNM device and is 80% smaller than InterStim II.

Can be recharged once a week, or as infrequent as once per month, depending on the patient’s preference or device settings.

Does not require impedance checks prior to an MRI scan.
Can recharge from zero to 100% in less than an hour§.
Reduces the need for battery replacement surgeries due to its life of 15 years.

InterStim micro device lead

Hear Sarah’s Story

Sarah talks about her experience with overactive bladder and Medtronic Bladder Control Therapy delivered by the Interstim system.

If you’ve tried other treatments but are still suffering from urge incontinence or overactive bladder (OAB), there is another option: the InterStim system.

Important Safety Information

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).

InterStim Urologists

Dr. Eric J. Margolis Urologist Englewood NJ

Eric J. Margolis, MD

InterStim COE | Regional Training Center for Sacral Neuromodulation

Dr. Robert Simon Urologist Englewood NJ

Robert B. Simon, MD

InterStim COE | Regional Training Center for Sacral Neuromodulation

InterStim FAQs

WHAT IS MEDTRONIC BLADDER CONTROL THERAPY DELIVERED BY THE INTERSTIM™ SYSTEMS?

This therapy is an implantable device that targets the nerves that control your bladder to help it function normally again.

WHAT IS THE DIFFERENCE BETWEEN THE INTERSTIM™ II AND INTERSTIM™ MICRO SYSTEMS?

Both are designed to deliver effective symptom relief through sacral neuromodulation. The InterStim™ II system is a recharge-free device, while the InterStim™ Micro system is rechargeable.

HOW DO THE INTERSTIM™ SYSTEMS WORK?

Medtronic bladder control therapy delivered by the InterStim™ systems restores bladder function by gently stimulating the sacral nerves.*

WHY DO THEY TREAT THE SACRAL NERVES?

Doctors believe that bladder control problems are caused by miscommunication between the brain and the sacral nerves, which are located in the lower back and control the bladder.1

WHAT ARE THE BENEFITS OF THIS THERAPY?

With this therapy, you may experience fewer trips to the bathroom, fewer accidents, and more confidence as you get back to living your way.2

WHAT ARE THE POTENTIAL SIDE EFFECTS OR COMPLICATIONS?

Choosing to have an InterStim™ system implanted has risks similar to any surgical procedure, including swelling, bruising, bleeding, and infection. Talk with your doctor about ways to minimize these risks.†

WILL THIS THERAPY CURE MY CONDITION?

No. It can be effective, but it’s not a cure. If the neurostimulator is turned off or removed, symptoms can return.

HOW LONG DOES THE RELIEF LAST?

Everyone’s experience of relief is different, so it is difficult to generalize. What we can say is that in a clinical study, our therapy significantly reduced symptoms of overactive bladder (OAB) and non-obstructive urinary retention in people treated for five years.†,3,4

WHAT DOES THE STIMULATION FEEL LIKE?

Most people describe it as a slight pulling, tingling, or fluttering sensation in the pelvic area. The stimulation is always adjustable, and should not be painful.

WHY IS THIS THERAPY DIFFERENT FROM OTHER OPTIONS?

You can try it before you decide, and it’s reversible if you change your mind later. The InterStim™ II system is clinically superior to oral medication and the InterStim™ Micro system is designed to deliver the same results.†,5 And unlike injections, this therapy doesn’t require self-catheterization or repeated treatment visits.

HOW LONG HAS THIS THERAPY BEEN AROUND?

Since its approval in 1997, the InterStim™ system has been used to treat bladder control problems in hundreds of thousands of patients around the world.

WILL I BE ABLE TO GET AN MRI WITH THE IMPLANTABLE DEVICE?

Yes, you can have a full-body MRI scan under certain conditions. Your clinician can provide more details about these conditions, as well as safety information.

WILL INSURANCE COVER THE COSTS?

Medicare and many private insurance companies cover this therapy. Talk to your doctor to learn more about your insurance coverage.

* With the InterStim™ systems, restored bladder function is defined as a 50% or greater reduction in your troublesome bladder symptoms.

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, undesirable changes in urinary or bowel function, and uncomfortable stimulation (sometimes described as a jolting or shocking feeling).Talk with your doctor about ways to minimize these risks.

Under certain conditions.

1 Leng WW, Morrisroe SN. Sacral nerve stimulation for the overactive bladder. Urol Clin N Am. 2006;33:491–501.

2 Siegel S, Noblett K, Mangel J, et al. Results of a prospective, randomized, multicenter study evaluating sacral neuromodulation with InterStim® Therapy compared to standard medical therapy at 6-months in subjects with mild symptoms of overactive bladder. Neurourol Urodyn. 2015;34:224–230. DOI: 10.1002/nau.22544

3 Siegel S, Noblett K, Mangel J, et al. Five-year follow-up results of a prospective, multicenter study of patients with overactive bladder treated with sacral neuromodulation. The Journal of Urology 2018;Volume 199(1), 229–236.

4 Van Kerrebroeck P, et al. Results of sacral neuromodulation therapy for urinary voiding dysfunction: outcomes of a prospective, worldwide clinical study. Journal of Urology. 2007;178:2029-2034.

5 Siegel S, Noblett K, Mangel J, et al. Results of a prospective, randomized, multicenter study evaluating sacral neuromodulation with InterStim® Therapy compared to standard medical therapy at 6-months in subjects with mild symptoms of overactive bladder. Neurourol Urodyn. 2015;34:224–230.

Why Choose NJU?

At New Jersey Urology (NJU), our team of experienced urologists and clinical support professionals are dedicated to improving the health of our patients. As one of the country’s most prominent urology groups, we specialize in all areas of urological health and offer comprehensive treatment options, in-house laboratory testing and four state-of-the-art cancer treatment centers.

Discover the NJU difference today. Contact us and our administrative team will respond back to you as soon as possible.

Axonics Treatment for Urinary and Bowel Incontinence, Overactive Bladder (OAB), and Urinary Retention

Axonics Therapy for OAB

Axonics Treatment for Urinary and Bowel Incontinence, Overactive Bladder (OAB), and Urinary Retention

Are your bladder and bowel accidents disrupting you from living a normal life? You may be suffering with urinary or fecal incontinence, overactive bladder, or urinary retention if you are experiencing the following symptoms:

  • Sudden, strong urges to urinate or pass stool and unable to control it
  • Go to the restroom 8 or more times a day
  • Experience bladder or bowel leaks
  • Trouble urinating

About Your Condition

Icon-Row

What is Overactive Bladder (OAB)?

Overactive bladder—which your doctor may refer to as “OAB”—is an umbrella term that includes the frequent and urgent need to empty your bladder. One of the most common symptoms of overactive bladder is a sudden urge to urinate, resulting in unintentional urine loss.

What Is Urinary Incontinence?

Urinary incontinence is the inability to control when the bladder releases urine.

What is Urinary Retention?

Urinary retention is the inability to empty the bladder. People with this condition are unable to urinate or they feel frequent urges but only urinate small amounts.

What is Fecal Incontinence?

Fecal incontinence, or accidental bowel leakage, is a condition where people get sudden urges to pass stool and experience leakage of stool before they make it to the restroom.

There is a solution for you

If you are suffering with symptoms of urinary incontinence, overactive bladder, urinary retention or fecal incontinence, you no longer need to suffer in silence. The good news is that there are treatment options for controlling your symptoms. Axonics Therapy is an advanced treatment option that may be right for you.

What is Axonics Therapy?

Axonics Therapy is a clinically proven solution for treating symptoms of overactive bladder (including urinary urgency incontinence), bowel (fecal) incontinence and urinary retention.1

What are the benefits of Axonics Therapy?

  • Small Size: Safely delivers therapy with a miniaturized implant
  • Long-Term Therapy: Designed to provide therapy for at least 15 years
  • Full-Body MRI: Eligible for full-body MRI under approved conditions
  • Clinically Proven: In a clinical study, Axonics Therapy provided sustained safety and symptom relief at 3 years2
Axonics System - Treatment for OAB

How does Axonics Therapy work?

Axonics Therapy provides gentle stimulation to the nerves that control the bladder and bowel, which can restore normal control and result in symptom improvement.

The Evaluation Step: To see if Axonics Therapy is right for you, you will undergo a short period of therapy using a temporary system. The evaluation period allows you to experience the level of symptom relief the therapy may provide before you commit to long-term therapy.

Long-term Therapy: If you and your doctor determine that Axonics Therapy is right for you, you will have an outpatient procedure where the miniaturized Axonics implant is placed just beneath the skin in the upper part of your buttock.

Clinically Proven. Patient Approved.

CLICK IMAGE TO ENLARGE

Backed by clinical studies, Axonics Therapy is clinically proven to regain bladder and bowel control and deliver clinically meaningful improvement in quality of life.

At 1-Year,

  • 93% of patients were satisfied with their therapy1
  • 89% of patients experienced a ≥50% reduction in UUI symptoms1
  • <2% of patients reported discomfort at the implant site1

Want to hear from a real person about their experience with Axonics Therapy?

Jill, 45 years old and married with 4 kids, started noticing OAB symptoms 10 years ago. Having an active family, her condition impacted every part of her life. With Axonics Therapy, Jill regained control!

Who is a good candidate for Axonics Therapy?

It is up to you and your healthcare provider to determine if you are a good candidate for Axonics Therapy.

Axonics Therapy is an approved treatment for patients suffering with:

  • Overactive bladder (OAB) – the urgent need to urinate which may result in frequent urination and/or incontinence (leakage) episodes
  • Urinary frequency – the need to urinate 8 or more times a day, which may or may not be associated with urgency
  • Urinary urgency incontinence (UUI) – the urgent need to urinate or trouble holding urine before making it to the restroom
  • Fecal (bowel) incontinence – involuntary loss of stool which may or may not be associated with urgency
  • Nonobstructive urinary retention (UR) – the inability to completely empty the bladder which may result in trouble urinating or frequent small voids
  • Axonics Therapy is indicated for patients who have failed conservative treatments, such as lifestyle changes, physical therapy, or medications.

Important Safety Information

Implantation and use of the Axonics System incurs risk beyond those normally associated with surgery, some of which may necessitate surgical intervention.

Results and experiences may vary and are unique to each patient. No promise or guarantee is made about specific results or experiences. Talk to your doctor about whether the Axonics System is right for you and to discuss the potential risks and benefits. For more information about safety and potential risks, go to: www.axonics.com/isi.

Caution: Federal law (USA) restricts this device to sale and use by, or on the order of, a physician.

1. Company data on file, ARTISAN·SNM Clinical Study (NCT03327948)
2. Company data on file, RELAX·OAB Clinical Study (NCT02620410)

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Bulkamid for Stress Urinary Incontinence

Bulkamid®

Bulkamid for Stress Urinary Incontinence

What is Bulkamid®?

Approved by the FDA, Bulkamid is a urethral bulking agent for the treatment of stress urinary incontinence in women. Bulkamid is a soft hydrogel, consisting of 97.5% water and 2.5% polyacrylamide.

How does Bulkamid Work?

Bulkamid provides additional volume to the urethra and acts as a scaffold for cells to grow through helping to provide long lasting relief of stress urinary incontinence symptoms.

Bulkamid aims to restore the natural closing pressure of the urethra preventing urine from leaking out unintentionally during normal daily activities (e.g. when you cough, laugh, walk or exercise).

Urethral bulking is a non-mesh, minimally invasive procedure that takes around 10 – 15 minutes and is usually done in your physician’s office with a local anesthetic. In most cases patients can get back to their normal activities within a day.

Bulkamid Female Stress Urinary Incontinence New Jersey

What are the benefits of Bulkamid?

The majority of women treated with Bulkamid report dryness or improvement in their symptoms, with many seeing that improvement as soon as they leave the doctor’s office.

If relief from your symptoms is not sufficient following treatment with Bulkamid, an additional insertion can be given to help achieve satisfactory results.

In the Bulkamid clinical study, women were asked how effective they felt their treatment was 12 months after their initial insertion. Over three quarters of women reported that their incontinence was either “dry, much improved or improved” and approximately half of women reported zero stress urinary incontinence episodes.

Why Choose NJU?

At New Jersey Urology (NJU), our team of experienced urologists and clinical support professionals are dedicated to improving the health of our patients. As one of the country’s most prominent urology groups, we specialize in all areas of urological health and offer comprehensive treatment options, in-house laboratory testing and four state-of-the-art cancer treatment centers.

Discover the NJU difference today. Contact us and our administrative team will respond back to you as soon as possible.

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