1. Urinary Incontinence in Women Slideshow Pictures
2. Urinary Incontinence in Men Slideshow Pictures
3. Food & Drinks That Make You Gotta Go Slideshow Pictures

Medical Author:

Siamak T. Nabili, MD, MPH

Siamak T. Nabili, MD, MPH

Dr. Nabili received his undergraduate degree from the University of California, San Diego (UCSD), majoring in chemistry and biochemistry. He then completed his graduate degree at the University of California, Los Angeles (UCLA). His graduate training included a specialized fellowship in public health where his research focused on environmental health and health-care delivery and management.

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Medical Editor:

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

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Insertion of nerve stimulators have been approved for treating overactive bladder, which is refractory (unresponsive) to other more common therapies mentioned above. These devices can modulate and rebalance the nerve stimulation responsible for OAB and hyperactive detrusor muscle.

Sacral nerve stimulation (InterStim Therapy Sacral Nerve Stimulation, Medtronic, Minneapolis, Minn.) is the most common type used. If the patient with OAB responds to a test stimulation, then the device can be surgically implanted. Another type of nerve stimulator is Urgent PC (Uroplasty, Inc., Minnetonka, Minn.), a percutaneous (delivered through the skin) tibial nerve stimulation therapy. Both of these devices are FDA-approved for OAB.

Traditional surgery is rarely used in treating overactive bladder and is reserved for cases unresponsive to all other forms of therapy. Reconstructive bladder surgery is the most commonly performed procedure.

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