Overactive bladder can have a significant negative effect on quality of life. In patients who are refractory to medications, neuromodulation may be a viable therapeutic option. By stimulating specific nerves that innervate the bladder the symptoms of bladder overactivity may improve or resolve. In the office we offer percutaneous tibial nerve stimulation. In addition there two options for surgical implantation of a sacral neuromodulation system by Medtronic and Axonics. Please contact your physician to check if you are a candidate.