Treatment
Protocols 

SUI 

Urge 

Mixed 

AM session:
15 minutes 

50 Hz

12.5 Hz

12.5 Hz

PM session:
15 minutes 

50 Hz

12.5 Hz

50 Hz

Treatment duration 

12-14 weeks

12 weeks

12-14 weeks

Office visit #1(when patient ot. device) 

Education for use

Directions for use

Initial treatment
checklist

Education for use

Directions for use

Initial treatment checklist

Education for use

Directions for use

Initial treatment
checklist

Office visit #2

(week 2)

Follow up

Proper placement

Device function/settings

Bladder diary/compliance

Patient feedback/questions

Follow up

Proper placement

Device function/settings

Bladder diary/compliance

Patient feedback/questions

Follow up

Proper placement

Device
function/settings

Bladder diary/compliance

Patient feedback/questions

Office visit #3

(week 6)

Follow up

Repeat week 2 checklist

Reassure patient that significant improvement may take 12 weeks

Follow up

Repeat week 2 checklist

If no significant reduction in symptoms: increase PM session to 50 Hz

Follow up

Repeat week 2 checklist

If no significant reduction in symptoms: increase AM session to 50 Hz

Office visit #4

(week 12)

Treatment Assessment

Repeat week 2 checklist

If symptoms improving but goal not reached: continue current tx for 4 to 6 more weeks

If no improvement: refer to urogynecologist for w/u

Treatment Assessment

Repeat week 2 checklist

If symptoms improving but goal not reached: continue current tx for 4 to 6 more weeks

If no improvement: refer to urogynecologist for w/u

Treatment Assessment

Repeat week 2 checklist

If symptoms improving but goal not reached: continue current tx for 4 to 6 more weeks

If no improvement: refer to urogynecologist for w/u

Maintenance

(fit to meet your patient’s needs and/or schedule)

Schedule example:

PM session at 50 Hz

3x/week or every other day

Schedule example:

PM session at highest Hz setting required during treatment

3X/week or every other day

Schedule example:

PM session at 50 Hz

3x/week or every other day