Sacral Nerve Stimulation Specialist
Dr. Daniel Stone, MD FACOG
Urogynecologist located in Phoenix, AZ
Dr. Daniel Stone, MD performs Sacral Nerve Stimulation implantation (Axonics and Interstim) for to patients in the Phoenix, Scottsdale and surrounding Arizona areas. These procedures can help patients that suffer from Urge Urinary Incontinence, Overactive Bladder, Fecal Incontinence, Urinary Retention, or Neurogenic Bladder.
Sacral Nerve Stimulation Q & A
What is Sacral Nerve Stimulation?
How does Sacral Nerve Stimulation work?
Sacral Nerve Stimulation alters the sacral nerves that go to and come from the bladder. By stimulating these nerves, the brain and bladder can better communicate with each other.
What conditions does Sacral Nerve Stimulation treat?
Sacral Neuromodulation can treat the following conditions:
How is Sacral Nerve Stimulation implantation performed?
Dr. Stone perform will first perform an evaluation phase where he will determine whether or sacral nerve stimulation works for you. The 2nd phase is the implantation phase where implant is placed under the skin. Dr. Stone can perform the evaluation phase in 2 different ways, being either a basic or an advanced evaluation.
Dr. Stone performs the first portion of this procedure in the office. It involves the placement of a small temporary wire near the sacral nerve which is then connected to an external generator/stimulator. The wire will stay in place for 2-3 days and then is removed. Based on your response, Dr. Stone will either plan on a full implantation or discuss alternatives with you. The full implantation involves a 45 minute procedure in the operating room. You will be put to sleep and a permanent wire implantation near the sacral nerve which is then connected to a generator which is implanted under the skin. The advantages of this approach is the first portion can be performed in the office. The disadvantage of this approach is that the evaluation phase is short and may not give enough information to make an informed decision on whether to perform the permanent implantation.
Dr. Stone performs both portions of this procedure in the operating room. The evaluation phase involves placement of a wire near the sacral nerve, which is then connected to a external generator/stimulator. This wire can stay in place indefinitely, which allows you and Dr. Stone a longer period of time for evaluation, usually 1-3 weeks. If you experience significant improvement of your symptoms he will then perform the 2nd phase, which is a permanent implant, also in the operating room
What are the risks of this procedure?
The risks include the following:
- Pain near incision and implant site
- Lead migration
- Wound infection
What is Interstim and Axonics and which one is better?
There are two companies that currently market these devices. Dr. Stone is trained to implant either one. He will discuss with you the advantages and disadvantages of the two products and together you can come to a decision.
- Has been on the market the longest and has the most data behind it
- No need to recharge the battery
- The battery lasts 5-10 years
- Cannot have an MRI below the head
- Larger in size compared to Axonics
- Needs to be replaced every 5-10 years
- Newer technology
- Smaller in Size compared to Interstim
- MRI compatible
- Last 18 years
- Needs to be wirelessly recharged every 2 weeks using a special belt
- Not as well studied compared to Interstim
What are the alternatives to Sacral Nerve Stimulation?
There are a couple of alternatives to sacral Neuromodulation.
Major Insurance Providers Accepted
We accept most insurance policies for your convenience. Please contact your insurance carrier to verify your individual benefits and any copays or coinsurance that are part of your plan. Patients are responsible for notifying our office if a specific plan requires precertification, preauthorization, or a referral (especially HMOs). Please call the phone number on the back of your insurance card to verify your provider network participation as insurance carriers change policies often.
Phoenix, Arizona 85016-1302
Office Hours: Monday-Friday from 8 AM – 5 PM
Main: (602) 788-1521
Fax: (602) 688-5420
Conveniently located just off Highway 51 on Maryland Avenue just East of 16TH Street between East Bethany Home Road and East Glendale Avenue.