1. 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                Foothill Road              
Santa Barbara, CA 93110
Phone:

2. 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