Diagram of sacral neurostimulation procedureSacral neuromodulation, a minimally invasive treatment option, is indicated for the treatment of urge incontinence, frequency/urgency syndromes, and non-obstructive urinary retention. The technique is thought to improve nerve function related to voiding, although the exact mechanism is not well understood. Dr. Das participated in the original trials that led to the approval of this technique and has a vast experience in treating patients with sacral neuromodulation.

The initial trial can be performed under local anesthesia in an office setting, while the final implantation of the lead and neurostimulator are performed in the operating room under sedation or general anesthesia depending on patient preference.

Generally, more conservative options such as biofeedback/pelvic floor training and/or medications are tried prior to proceeding with sacral neuromodulation.