Initial Office Evaluation Urinary Incontinence, Urgency, Frequency, Nocturia, Retention, Fecal Incontinence& Urgency, Bladder Pain Conservative Treatments Fluid & Irritant Reduction, Timed Voiding, Physical Therapy Trial of a Medication Sample Beta Agonist for 4 weeks  Rare Side Effects: HTN, Headaches AntiCholinergic for 2 weeks  Common Side Effects: Dry Mouth, Dry Eyes, Constipation Re-Evaluation in the Office Symptoms should improve >50% with conservative treatments or meds. If you experience <50% improvement in symptoms you should consider other treatment options below. Urgent PC Therapy InterStim Lead Procedure Botox Treatment Outpatient Surgery 1 to 2 week Trial Clinic Treatment 12 Weekly visits for 30 Minute sessions Clinic Procedure Cystoscopic Needle Injection 5% Retention Rate If unsuccessful If unsuccessful Monthly Maintenance Therapy InterStim Pacemaker Placement Repeat Treatments Usually every 6 to 11 months 5 to 7 Year Battery Life Alex Rogers, MD Sansum Clinic Urology                4151 Foothill Road               Santa Barbara, CA 93110 Phone: 805-681-7564

Superior Symptom Improvement “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