Sacral Neuromodulation

Urinary incontinence, no matter how minor or infrequent it may seem, can be an embarrassing and uncomfortable issue. If you’re having problems with bladder control, the physicians and advanced practitioners at Urogynecology of Kansas City, can help. Book your incontinence evaluation in our main office or at a satellite location.

What is Overactive Bladder (OAB)?

Overactive bladder is a common condition caused by an involuntary contraction of the bladder muscle (detrusor) leading to urinary frequency, urgency, nighttime voiding, and leakage of urine. This can have a significant impact on your quality of life.

How does Sacral Neuromodulation work for OAB?

Evidence suggests that the root cause of OAB and non-obstructive urinary retention stems from a disruption in the bladder-brain communication pathway. While other therapies focus on the bladder muscles, Sacral Neuromodulation targets the nerves, which is thought to help restore normal bladder function.

Am I a candidate for Sacral Neuromodulation therapy & how effective is it for OAB?

Sacral Neuromodulation is often recommended if medication, biofeedback therapy, pelvic floor physical therapy or behavior modification have not provided enough benefit for you. Patients who use Sacral Neuromodulation report an 84% satisfaction. In addition, 76% of people achieved success at 6 months compared to 49% who used medications.

What are the risks?

The most common adverse events experienced during clinical studies included pain at implant sites, new pain, lead migration, infection, technical or device problems, adverse change in bowel or voiding function, and undesirable stimulation or sensations. Any of these may require additional surgery or cause return of symptoms.

How is the Sacral Neuromodulation procedure performed?

Step 1: Percutaneous nerve evaluation (PNE) is a minimally invasive procedure, performed in the clinic, under local anesthesia. Two temporary leads (special wires) are placed through a pinpoint opening in your sacrum. After the leads are positioned and secured, stimulation is delivered to your sacral nerve as you go about your normal activities. You will return to the clinic several days later for removal of the leads. If your urinary symptoms improve significantly with stimulation, you may proceed to Sacral Neuromodulation implant (Step 3).
Step 2: If the results of the PNE trial are inconclusive, your doctor may recommend another test called a Staged Sacral Neuromodulation trial, involving one or two outpatient surgeries performed under light sedation about two weeks apart. A lead will be implanted near your tailbone in the stage 1 procedure. During the trial period, an Sacral Neuromodulation nurse or technician will instruct you to test different settings on the lead using a control box. If the test is successful, you will proceed to step 3. If there was not marked improvement in symptoms during the trial, the lead will be removed in the office or with a second surgery.
Step 3: If your trial phase was the PNE, you will have the lead implanted in the sacrum, which will be connected to a small pulse generator implanted in your buttock. If you underwent the stage 1 trial, and had improvement in your urinary symptoms, stage 2 will involve implanting the pulse generator and connecting it to the existing lead.

Instructions for after the procedure

You will have follow-up appointments with your doctor to make sure the device is programmed in the best way to control your symptoms. You will receive a remote control device to control stimulation, and you may see the Sacral Neuromodulation nurse or technician as needed to adjust settings for optimal benefit. This may take a few visits after the initial implant. Once the most appropriate settings are determined, you will need to be followed annually or as needed. Patients can expect up to 6 years of benefit before the device may need to be replaced due to battery depletion.

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   charnice burk 
 September 4, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Nosti is great! I felt very confident in his work. He has done 2 procedures for me and both have gone so smooth. He tells you what to expect and has a plan for those things. I would refer him to anyone having gynecological issues that they need surgery for. Thanks Dr. Nosti!!
  
 
      
   Deb Hundley 
 August 26, 2026
 
 
 Trustindex verifies that the original source of the review is Google. As a Provider in the region I self referred to Dr. Nosti for female pelvic organ prolapse and stress incontinence. From the time I walked in the door for my initial consult to my post-op surgical follow up the process has been seamless. Any hiccups were anticipated and a plan was in place prior. I’ve been nothing but happy with this process and my results.
  
 
      
   Kathryn Gonzalez 
 August 26, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Everyone is so professional and Dr. Nosti is incredible.  Surgery went well.  I feel more confident.
  
 
      
   Rose Hamilton 
 August 25, 2026
 
 
 Trustindex verifies that the original source of the review is Google. This place was amazing, I was treated kindly and softly, everything explained to me as we went, my options and things to help till my next appointment. The office itself is soft, clean, and quiet to help you feel more relaxed in an uncomfortable situation. Everyone was very friendly and respectful. I highly recommend this office. Dr Stork was very friendly, took her time, explained everything and presented my options, pros and cons for each and let me make the choice. She was light-hearted and helped me feel at ease.
  
 
      
   Elaine Smith 
 August 16, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr Nosti is wonderful, I would recommend him to any of my friends.  His office staff are kind, courteous and professional.  Highly recommend if you need urogynecology services!!
  
 
      
   Ashlee White 
 August 13, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I have dealt with IC and bladder pain for the last 3 years. Went to a urologist for years and tried anything he threw at me but after years of suffering and plenty of my own research (spiraling), I found Latasha online. She is the first provider that made me feel seen and heard and actually helped me feel better. Thank you, Latasha! ❤️
  
 
      
   Colleen Dublin 
 August 11, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Nosti and LaTasha are excellent practitioners. They are a busy practice but always have time to make you feel like you're the only patient. (I wouldn't recommend a practice that isn't busy... if it's not, the practitioners aren't any good). The staff is excellent, too. I'm a bit of an expert when judging urologists... I'm in my 50's and was born with a bladder condition. Needless to say, I've seen many urologists since childhood (I move around a lot).
  
 
      
   Jennifer Sada 
 August 2, 2026
 
 
 Trustindex verifies that the original source of the review is Google. This office is extremely clean and well organized. I never had to wait more than two minutes and the staff is very friendly and professional. I felt fully supported by Kellie James and Dr. Nosti at every step of the diagnosis and treatment.
  
 
      
   Lisa Kurz 
 July 20, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I had the best experience with Dr. Nosti, he’s so caring and made me feel very comfortable. I’ve never felt better and my life is back to normal again! He is so wonderful and explained everything. I’m so happy I didn’t wait and his staff at his office and at the hospital were amazing!!
  
 
      
   Lynette Beebe 
 July 20, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I was struggling. Latasha Reed and Dr. Nosti were so helpful.  I can go places without accidents.