David J. Cahn, MD

Recent Posts

InterStim treatment for overactive bladder has low rate of serious complications, according to new study

Posted by David J. Cahn, MD on September 28, 2016 at 12:00 PM

Have you been considering InterStim therapy to treat your overactive bladder but you are worried about complications from the device or the surgery? In a new study looking at 272 patients who received InterStim therapy for overactive bladder, the rate of adverse effects (AE) was much lower than in past studies.

The study found that 30 percent of patients had some level of adverse effects, but just one had a complication considered serious. The most common side effects were an undesirable change in stimulation and device site pain, most of which occurred in the first three months after surgery.

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Tags: InterStim therapy, Overactive Bladder, Sacral nerve stimulation, Neuromodulation

Will my prostate cancer treatment cause incontinence?

Posted by David J. Cahn, MD on August 24, 2016 at 5:50 PM

Losing urinary control is a common fear when facing prostate cancer treatment. For some men, incontinence can seem worse than impotence (erectile dysfunction). And it’s no wonder. After all, it affects your life every day. If you’re worried about urinary incontinence or are dealing with it already, here’s what you need to know.

What: Urinary incontinence after a prostatectomy can present as anything from a dribble to loss of urine when you sneeze or cough (stress incontinence) to total leakage. After radiation therapy, men may have a combination of leakage and a need to urinate frequently. While incontinence is more of an annoyance than anything else, loss of control over the release of your urine can be stressful and embarrassing.

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Tags: prostate cancer, prostatectomy, incontinence

How will an InterStim device change my life?

Posted by David J. Cahn, MD on August 2, 2016 at 6:24 PM

Having an InterStim device implanted often changes a patient’s life – for the better. In many patients, the response is truly dramatic. They can stop taking all bladder control medications – and start enjoying activities like long walks, and travel, again.

The device provides targeted, continual therapy for overactive bladder symptoms, including urinary incontinence, stress incontinence and sudden, uncontrollable urges to urinate. It is a solution for patients for whom medications haven’t worked, or who can’t tolerate the side effects of medications.

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Tags: Stress Incontinence, Urinary Incontinence, InterStim therapy, Overactive Bladder, percutaneous nerve stimulation

How Does Interstim® Therapy for Overactive Bladder Work?

Posted by David J. Cahn, MD on July 20, 2016 at 4:19 PM

If conventional therapies for overactive bladder have not worked for you, and your bladder is still ruling your life, it might be time to consider InterStim therapy.

Overactive bladder symptoms—which include urinary incontinence, stress incontinence, frequent and urgent need to urinate, as well as problems emptying the bladder ---are treatable. Medications for overactive bladder generally work, but they are not targeted, and they have side effects, such as dry mouth, blurry vision, foggy thinking, and constipation.

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Tags: Overactive Bladder, InterStim therapy

Who is a candidate for InterStim therapy for overactive bladder?

Posted by David J. Cahn, MD on July 7, 2016 at 11:39 AM

About 37 million adults in the United States have one or more symptoms of overactive bladder – a sudden uncontrollable urge to urinate, urinary incontinence, frequent need to urinate, leakage, or even getting up in the middle of the night to go to the bathroom.

For many of those patients, medications work. But mediations are not targeted, and they do have side effects, which can include dry mouth, blurry vision, foggy thinking, and constipation.

And there are people for whom the medications don’t work or don’t work sufficiently.

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Tags: Overactive Bladder, InterStim therapy, Urinary Incontinence, Stress Incontinence