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Common patient concerns: How Dr. Han explains how Revi, a bladder control device, works

Headshot of Esther Han.
Esther Han, DO, FACS, FACOS
Urologist, Texas Urology Specialists

Dr. Esther Han explains how Revi, a drug-free treatment for urinary incontinence, works by stimulating the tibial nerve to treat Urge Incontinence.

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In this video, Dr. Han shares common concerns expressed by patients when discussing treatment options for urge urinary incontinence. When discussing neuromodulation with patients, many are concerned about being a “robot” and are not exactly sure what neuromodulation means. She overcomes their concern by explaining that their bladder is controlled by the nervous system, which is what neuromodulation is trying to target – the nerves. When discussing Botox as a treatment option, she explains that it is basically paralyzing, not rehabilitating, the nerves. In contrast, sacral or peripheral neuromodulation is rehabilitating the nerves, giving them the ability to control how frequently a person needs to go to the bathroom.  

When comparing sacral neuromodulation to peripheral neuromodulation, she noted that patients are often nervous that sacroneurmodulation is implanted into their back. With peripheral neuromodulation, physicians can get to the nerve through the ankle and get good efficacy without the downsides or adverse events that can come from sacral neuromodulation. Additional benefits to patients include that they can avoid general anesthesia and trial periods. 

This testimonial represents the personal experience and opinion of the Physician. Statements made during her presentation represents the experience of Dr. Han. Patient response can and do vary.

About the Author

Headshot of Esther Han.
Esther Han, DO, FACS, FACOS
Urologist, Texas Urology Specialists

Dr. Esther Han is a fellowship-trained urologist specializing in Female Pelvic Medicine and Reconstructive Surgery (FPMRS). She treats a range of urologic conditions for both men and women including overactive bladder, urinary incontinence, voiding dysfunction, pelvic organ prolapse and urethral strictures. Dr. Han earned her Doctor of Osteopathic Medicine from the University of North Texas Health Science Center, completed her residency in urological surgery at Detroit Medical Center, and her Fellowship in Female Pelvic Medicine and Reconstructive Surgery at Beaumont Hospital in Royal Oak, MI. She has been recognized as a Texas Top Doc and Top Women in Medicine. Dr. Han also has extensive volunteer experience in many global medical mission trips.