Dr. J. Kyle Mathews Offers Minimally Invasive Treatments for Incontinence in his North Dallas Office
Dr. J. Kyle Mathews offers women in Plano, Frisco and the north Dallas area the best in incontinence treatments, including minimally invasive procedures that are performed in our office.
After Dr. Mathews does a thorough evaluation of your incontinence symptoms, he may discuss some of these procedures with you and explain how they might benefit your health.
Nerve Stimulation Treatment
The process of urinating—everything from the muscles spasms that cause urine to flow into your urethra to the urge to urinate—is under the control of the nervous system; therefore, nerve stimulation treatment is effective in helping to control contractions and bladder muscles. Dr. Mathews uses two different types of nerve stimulation to treat incontinence.
Sacral Nerve Stimulation and Modulation (InterStim Therapy)
The sacral nerve, which is located at the base of the spine, plays a part in controlling the bladder muscles. Sacral nerve stimulation and modulation, or InterStim, therapy sends low-voltage electrical impulses to the bladder muscles to interrupt or stop the signals that can cause incontinence.
Before performing this therapy, Dr. Mathews will talk to you about performing a test stimulation to see if Interstim therapy will help control your incontinence.
This procedure is performed in our north Dallas office. You will receive sedation (sometimes called “twilight sleep”) and local anesthesia while Dr. Mathews places a small implantable device (about the size of a Pacemaker) under the skin in your lower back/buttock area.
The procedure takes about thirty minutes, and you will be able to go home the day of the treatment. You will have some restrictions and need to reduce some activities for 7 to 10 days.
Tibial Nerve Stimulation, or percutaneous nerve stimulation (PTNS)
The tibial nerve runs from your ankle, to the knee, to the sacral nerve at the base of the spine. This treatment sends electrical impulses to your sacral nerve via the tibial nerve, helping to block any mixed signals that the sacral nerve is receiving which may be causing bladder problems.
Tibial nerve stimulation is done without any incisions or implants. During this thirty minute treatment, there is a narrow, needle electrode placed near the tibial nerve in your ankle. Most patients find this procedure to be painless, with many saying they feel a tingling or pulsing sensation during treatment.
Treatment usually occurs weekly for 12 weeks. Maintenance treatment is done as needed—Dr. Mathews will work out a schedule that works best to help control your incontinence.
Urethral Bulking Agents, or Periurethral Injections
If Dr. Mathews finds that you are having a problem with the urethral sphincter, a group of muscles that affect the urethra and bladder control, he may try to use urethral bulking agents to help make those muscles work more effectively.
Dr. Mathews uses a cytopscope to see where to direct the bulking agents, which he injects with a small needle. This procedure takes place in our office with local anesthesia and, in some cases, sedation (or “twilight sleep”).
Dr. J. Kyle Mathews and his staff are experienced professionals you can trust to help you manage your incontinence. We want to help you feel better and live better. Contact us to make an appointment at our north Dallas area office so you can begin controlling your incontinence instead of letting it control you.