In this episode, I sat down with Dr. Suzette Sutherland, a seasoned urologist who recently transitioned from the University of Washington to a large urology group in Arizona. Dr. Sutherland shares her expertise on treating overactive bladder (OAB) and the latest innovation in neuromodulation therapies, specifically focusing on the efficacy and safety of tibial nerve stimulation. We discuss the evolution of treatment guidelines, the pros and cons of various therapies, including medications, Botox, and sacral nerve stimulation, and dive deep into the promising results from the FDA-approved Revi device from BlueWind. Dr. Sutherland also sheds light on patient selection, procedural details, and patient compliance, while offering insights into the future of OAB treatments.

For information on the REVI   https://bluewindmedical.com/

Timeline:

00:30 Introduction and Guest Introduction
01:10 Understanding Overactive Bladder and Treatment Options
02:19 Tibial Nerve Stimulation: A New Approach
02:40 Changes in Treatment Guidelines
05:57 Mechanism of Tibial Nerve Stimulation
09:38 Implantable Tibial Nerve Stimulation Devices
13:39 Patient Experience and Compliance
17:54 Comparing Neuromodulation Devices
25:37 Comparing Revi and Eco Devices
26:32 Understanding Device Placement and Stimulation Frequency
27:18 Battery Life and Replacement Concerns
29:33 New Devices on the Horizon
30:03 Meta-Analysis of Tibial Nerve Stimulation
32:49 Patient Choices: Sacral Nerve Stimulation vs. Tibial Nerve Stimulation
38:22 The Role of Botox in Bladder Treatment
46:14 Challenges and Innovations in Urogynecology