Axonics Sacral Nerve Stimulation (SNS) is a therapy designed for individuals suffering from fecal or urinary incontinence who have not found success with conventional treatments like medication, dietary changes, or pelvic floor exercises. This long-term solution involves implanting a small device that stimulates the sacral nerves, which are crucial for controlling bowel and urinary functions. The device uses mild electrical impulses to help manage symptoms by restoring normal communication between the brain, bowel, and urinary tract.

FAQs

Sacral nerves are located in the pelvic area just above the tailbone. These nerves control the muscles and organs that contribute to overall bowel control, such as the anal sphincter and pelvic floor.

In some cases, SNS can effectively treat fecal incontinence. It may also be used to treat overactive bladder, including the frequent, sudden urge to go to the toilet. In addition, it can address symptoms of stubborn constipation and fecal incontinence.

The procedure is done in two stages at one of our ambulatory surgery centers:

Stage 1 | Peripheral Nerve Evaluation

A temporary stimulator is implanted to test the therapy’s effectiveness. This outpatient procedure typically takes 30-40 minutes, followed by a seven-day trial period.

Stage 2 | Permanent Device Implantation

If the trial is successful, a second procedure is performed to implant a permanent device.

Both procedures are minor surgeries where the device is placed under the skin near the sacral nerves.

Axonics Sacral Nerve Stimulation offers several advantages over other alternatives. They include:

  • No medication required.
  • Minimally invasive procedures.
  • Rechargeable battery reducing the need for frequent replacements.
  • Adjustable settings for personalized therapy.
  • Long-term relief with a high success rate.

Axonics Sacral Nerve Stimulation is considered safe with a low risk of complications. Possible minor side effects include pain at the implant site, infection, or temporary worsening of symptoms, but these are generally mild and manageable.

There is no need to ingest anything before the procedure. You may need to stop certain medications or blood thinners, per your gastroenterologist’s orders, and follow specific instructions regarding eating and drinking on the day of the surgery. Additionally, you will need to keep a diary of symptoms for 48-72 hours before the initial procedure.

After the procedure, you can expect a short recovery period of about seven days with some activity restrictions. This will be followed by an evaluation of the trial’s success and removal of the temporary device before proceeding to the second phase. If successful, the office will coordinate with a local urologist for the final implant procedure. Upon completion of that procedure, there will be follow-up appointments to adjust settings for optimal results. In the long run, you can likely expect significant improvement of symptoms and a better quality of life.

Axonics Sacral Nerve Stimulation is often covered by insurance, including Medicare and many private plans. Check with your provider for specific details and pre-authorization requirements. Most insurers require a pre-trial diary of symptoms for 48-72 hours and a post-trial diary for seven days.

It depends on which device is implanted, as chosen by you. There are two options to choose from:

  • Axonics F15: Recharge-free and lasts 10-20 years.
  • Axonics R20: Requires recharging every 6-10 months and lasts 20 years or more.

Yes, 93% of patients report clinically significant improvements within two years, and 94% report being satisfied with their therapy.