Neuromodulation

Neuromodulation can reduce discomfort associated with certain bladder and pelvic conditions.

Neuromodulation is a treatment that uses electrical stimulation to influence nerve activity affecting bladder and pelvic function.

It may help reduce symptoms of an overactive bladder
It can address pain or dysfunction in the pelvic region
It may be recommended when lifestyle changes or medications are not effective

How Neuromodulation Works

Neuromodulation works by delivering small electrical impulses to targeted nerves or nerve groups that influence bladder, bowel, or pelvic function. These impulses help regulate the signals traveling between the brain and the nerves that control muscles in the pelvic region. By improving communication within these neural pathways, neuromodulation can reduce symptoms such as urinary urgency, pelvic pain, or bowel dysfunction.

Electrical impulses stimulate specific nerves

Treatment targets nerve signals between the brain and pelvic organs

Different techniques are used depending on the condition

Types of Neuromodulation Treatments

Several neuromodulation approaches may be used depending on the source of the symptoms. Each technique targets specific nerves that influence bladder or pelvic function.

Sacral neuromodulation may help regulate bladder or bowel function.

Pudendal neuromodulation may help manage pain within the pelvic region.

Percutaneous tibial nerve stimulation targets nerves through stimulation above the ankle.

Implanted devices may automatically stimulate selected nerves. Electrical impulses help restore more normal nerve signaling.

Some treatments may also involve medication-based nerve blocking injections.

Who Is a Candidate?

Neuromodulation may be considered for individuals whose symptoms have not improved with medications or lifestyle adjustments.

Overactive bladder symptoms

Fecal incontinence

Chronic pelvic pain

Intolerance to medication side effects

Treatment Methods

OnabotulinumtoxinA injections

Percutaneous tibial nerve stimulation

Implanted nerve stimulation devices

Several treatment methods fall under the category of neuromodulation. The least invasive option is often OnabotulinumtoxinA injections, which block nerve signals that cause bladder contractions. Percutaneous tibial nerve stimulation involves weekly sessions where a small electrode placed above the ankle delivers electrical impulses to the sacral nerves. In some cases, a surgically implanted device may be used to continuously stimulate targeted nerves and provide long-term symptom control.

What to Expect

Injection Treatments

OnabotulinumtoxinA injections can help reduce bladder urgency by blocking nerve signals that cause bladder contractions.

Weekly Stimulation Sessions

Percutaneous tibial nerve stimulation typically involves weekly treatments lasting about 30 minutes over several months.

Implanted Device Therapy

Some patients receive an implanted device that stimulates the sacral or pudendal nerves to provide ongoing symptom relief.