Sacral Neuromodulation for Men
If you’re struggling with persistent bladder symptoms such as urgency, frequency, or urinary retention, and other treatments haven’t worked, sacral neuromodulation offers a long-lasting, advanced solution.
This minimally invasive therapy helps restore normal bladder control by targeting the nerves that regulate urinary function.
What is Sacral Neuromodulation?
Sacral neuromodulation (SNM) is a treatment that uses gentle electrical stimulation to improve communication between the brain and bladder.
A small device is implanted near the sacral nerves (in the lower back), where it delivers mild pulses that help regulate bladder activity. This can significantly reduce symptoms such as urgency, leakage, and incomplete emptying.
Who is a Candidate?
Sacral neuromodulation may be recommended for men who:
- Have overactive bladder (OAB)
- Experience urinary urgency, frequency, or urge incontinence
- Have urinary retention (difficulty emptying the bladder)
- Have not improved with medications or conservative therapies
It is often considered after treatments like medications or PTNS have not provided enough relief.
How Sacral Neuromodulation Works
- A small neurostimulator is placed under the skin
- Thin wires connect the device to sacral nerves
- Gentle electrical signals help “retain” bladder communication
This helps normalize bladder function over time rather than simply masking symptoms.
What to Expect
Step 1: Trial Phase
Before permanent placement, you'll complete a trial to see if the therapy works for you.
- Temporary device placed
- Trial lasts several days to weeks
- Symptom improvement is evaluated
Step 2: Implantation
If successful, a small device is implanted under the skin in a minimally invasive procedure.
- Final device placed
- Monitor symptoms over time
- Settings can be adjusted as needed
Benefits of Sacral Neuromodulation
- Long-lasting symptom relief
- Minimally invasive procedure
- Reversible and adjustable therapy
- Significant improvement in quality of life
Modern systems are designed for durability, with devices that can last many years depending on the system selected. Some systems are rechargeable, while others are designed to be recharge-free.
Sacral Neuromodulation for Men
Bladder symptoms in men are often associated with prostate conditions, but even after prostate treatment, symptoms can persist. Sacral neuromodulation targets the nerve signals controlling the bladder, making it an effective option for men with:
- Persistent urgency or frequency
- Post-prostate treatment symptoms
- Urinary retention
This therapy offers a solution beyond medications or repeated procedures.
Types of Sacral Neuromodulation Therapy
Frequently Asked Questions
The device is small and implanted under the skin, typically in the upper buttock area. Most patients report that it is not visible and cannot be seen through clothing.
Most patients feel a mild tingling or pulsing sensation, which can usually be adjusted to a comfortable level. Many patients report they are not aware of the stimulation during daily activities.
Battery life varies by device type. Non-rechargeable systems typically last several years before a simple replacement procedure is needed, while rechargeable systems are designed to last longer with periodic charging.
Sacral neuromodulation is designed as a long-term therapy, but it is also reversible and adjustable. The device can be reprogrammed, and if ever needed, it can be removed.
Why Choose Virginia Urology
Advanced Therapy Not Widely Available
Sacral neuromodulation is a specialized treatment offered by experienced providers.
Comprehensive Male Urologic Care
We evaluate underlying causes like prostate conditions alongside bladder dysfunction.
Personalized Treatment Plans
Your care is tailored to your symptoms, goals, and response to therapy.
Advanced Care Close to Home
You don’t have to travel far to access cutting-edge bladder control treatment.

Want to learn more?
If bladder symptoms are affecting your quality of life, advanced treatment options are available. Schedule a consultation to find out if sacral neuromodulation is right for you.
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