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Altaviva™

Pacific Northwest Urology Specialists

Urologists located in Bellingham, WA

Living with an overactive bladder (OAB) or urge urinary incontinence (UUI) can make it difficult to enjoy everyday activities with confidence. If medications or lifestyle changes haven't provided the relief you need, Pacific Northwest Urology Specialists in Bellingham, Washington, offers Altaviva™, an advanced, minimally invasive treatment designed to help restore bladder control. The experienced urology team provides personalized care to determine if Altaviva is the right solution for your symptoms. Call the office or schedule a consultation online today.

What is Altaviva?

Altaviva is an advanced therapy designed to help treat symptoms of overactive bladder (OAB), including urge urinary incontinence, frequent urination, and sudden, difficult-to-control urges to urinate. It uses gentle neuromodulation technology to improve communication between your bladder and the nerves that control it.

For many patients, Altaviva offers an effective treatment option when conservative therapies, such as bladder training, pelvic floor exercises, or medications, have not provided enough symptom relief. The goal is to reduce bothersome urinary symptoms and help you regain confidence in your daily life.

How does Altaviva work?

Your bladder and brain constantly communicate through a network of nerves that control when your bladder stores urine and when it's time to empty. In people with an overactive bladder, these nerve signals can become disrupted, causing the bladder to contract before it's full.

Altaviva delivers gentle stimulation to the nerves involved in bladder control, helping normalize these signals and improve bladder function. By restoring healthier communication between the bladder and nervous system, many patients experience fewer urgent trips to the bathroom and improved bladder control.

Your provider will explain how the treatment is performed, answer your questions, and create a care plan tailored to your individual needs.

What conditions does Altaviva treat?

Altaviva is primarily used to treat symptoms associated with an overactive bladder, including:

  • Urge urinary incontinence
  • Sudden, intense urges to urinate
  • Frequent urination during the day
  • Waking multiple times at night to urinate (nocturia)

If these symptoms interfere with your work, sleep, travel, or everyday activities, Altaviva may provide meaningful relief.

Who is a good candidate for Altaviva?

You may be a good candidate for Altaviva if you:

  • Have been diagnosed with overactive bladder or urge urinary incontinence
  • Continue to experience symptoms despite lifestyle changes or medications
  • Prefer a minimally invasive treatment option
  • Want an alternative to more invasive surgical procedures

The team at Pacific Northwest Urology Specialists performs a comprehensive evaluation to determine whether Altaviva is the most appropriate treatment for your condition and goals.

What are the benefits of Altaviva?

Many patients choose Altaviva because it offers several potential benefits, including:

  • Reduced urinary urgency and frequency
  • Fewer episodes of urge urinary incontinence
  • Improved bladder control
  • A minimally invasive approach
  • Personalized treatment based on your symptoms and response

Results vary from person to person, and your provider will monitor your progress to help you achieve the best possible outcome.

What can I expect during treatment?

Your journey begins with a consultation to review your symptoms, medical history, and previous treatments. If Altaviva is right for you, your provider will explain each step of the treatment process and what to expect before, during, and after therapy.

Throughout your care, the team works closely with you to monitor your progress, answer your questions, and make any necessary adjustments to help optimize your results. Their goal is to improve your quality of life while providing compassionate, patient-centered care every step of the way.

If overactive bladder or urge urinary incontinence is affecting your daily routine, don't wait to seek treatment. Call Pacific Northwest Urology Specialists today or book an appointment online to learn whether Altaviva may be the right solution for you.

What is Altaviva?

Altaviva is an advanced therapy designed to help treat symptoms of overactive bladder (OAB), including urge urinary incontinence, frequent urination, and sudden, difficult-to-control urges to urinate. It uses gentle neuromodulation technology to improve communication between your bladder and the nerves that control it.

How does Altaviva work?

Your bladder and brain constantly communicate through a network of nerves that control when your bladder stores urine and when it's time to empty. In people with an overactive bladder, these nerve signals can become disrupted, causing the bladder to contract before it's full.

Altaviva delivers gentle stimulation to the nerves involved in bladder control, helping normalize these signals and improve bladder function. By restoring healthier communication between the bladder and nervous system, many patients experience fewer urgent trips to the bathroom and improved bladder control.

Your provider will explain how the treatment is performed, answer your questions, and create a care plan tailored to your individual needs.

What conditions does Altaviva treat?

Altaviva is primarily used to treat symptoms associated with an overactive bladder, including:

  • Urge urinary incontinence
  • Sudden, intense urges to urinate
  • Frequent urination during the day
  • Waking multiple times at night to urinate (nocturia)

If these symptoms interfere with your work, sleep, travel, or everyday activities, Altaviva may provide meaningful relief.

  1. Stewart WF, et al. Prevalence and burden of overactive bladder in the United States. World J Urol. 2003 May;20(6):327-336.
  2. US Census Bureau 2020. US adult and under-age-18 populations: 2020 census. https://www.census.gov/library/visualizations/interactive/adult-and-under-the-age-of-18-populations-2020-census.html. Accessed June 20, 2022.
  3. Ditah I, Devaki P, Luma HN, et al. Prevalence, trends, and risk factors for fecal incontinence in United States adults, 2005-2010. Clin Gastroenterol Hepatol. 2014;12:636-643.
  4. Whitehead WE, Borrud L, Goode PS, et al. Fecal Incontinence in US adults: epidemiology and risk factors. Gastroenterology. 2009;137(2):512-517.

Dicover the Altaviva™ therapy advantage

The only tibial neuromodulation device...

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Full-body MRI ready from the start with therapy on1-3

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15-year Overdrive™ battery technology‡,2,4,5

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Same-day therapy activation2,4,5

† Under certain conditions; see approved labeling for details.

‡ Based on clinical and bench testing for expected therapy settings.

Many patients choose Altaviva because it offers several potential benefits, including:

  • Reduced urinary urgency and frequency
  • Fewer episodes of urge urinary incontinence
  • Improved bladder control
  • A minimally invasive approach
  • Personalized treatment based on your symptoms and response

Results vary from person to person, and your provider will monitor your progress to help you achieve the best possible outcome.

More than 450,000
patients have trusted Medtronic technologies for bladder and bowel control

Who is a good candidate for Altaviva?

You may be a good candidate for Altaviva if you:

  • Have been diagnosed with overactive bladder or urge urinary incontinence
  • Continue to experience symptoms despite lifestyle changes or medications
  • Prefer a minimally invasive treatment option
  • Want an alternative to more invasive surgical procedures

The team at Pacific Northwest Urology Specialists performs a comprehensive evaluation to determine whether Altaviva is the most appropriate treatment for your condition and goals.

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Doctor discussion guide

Are you planning to talk to your doctor about Altaviva implant for UUI?

This guide will help you organize your thoughts to help maximize your appointment, and with the help of your doctor decide if this therapy is suitable for you.

Download a printable PDF

  1. M028949C001 RevC - MRI Guidelines for Altaviva Neurostimulator.
  2. eCoin® Peripheral Neurostimulator System Patient Manual_903-1236 revPB.
  3. Magnetic Resonance Imaging (MRI) for the Revi System G02- CLU-0139 Rev.02 May 2024.
  4. M028929C001 RevC - Clinician Therapy and Programming Guide Altaviva Model P7850N.
  5. Revi - Surgical Technique Guide US Catalog No: G02-CLU-0131 Rev 03 December, 2023.

Therapy outcomes

Altaviva™ therapy may help improve your quality of life by reducing urgency with leaks.1 In the pivotal clinical trial, after 12 months of therapy:

80%

of patients reported their condition had improved compared to before their implant.1

70%

of patients experienced a clinically meaningful‡ improvement in health-related quality of life.1

61%

of patients had a 50% or greater reduction in UUI episodes after 12 months of therapy.1

Adverse events related to the device, procedure, and/or therapy occurred in 20% of implanted subjects through 12-month follow-up. The most common types of related AEs were implant-related infections at the implant site (7%) and implant site pain (3%).

†As assessed by the Patient Global Impression of Improvement (PGI-I).

‡Minimally Important Difference (MID) = 10 points.

“The Altaviva implant helped me build up the confidence that I had lost.”

Roschelle, living with UUI.

Individual results may vary.

“No one wants to talk [about UUI]. But since getting the Altaviva implant, I feel like a new person.”

Anthony, living with UUI.

Individual results may vary.

Frequently asked questions

What is the Altaviva™ implant for bladder control?

The Altaviva™ implant for UUI involves placing a small device under the skin near your ankle, which sends electrical pulses to the tibial nerve that helps maintain normal bladder function.3,4 These pulses may help restore the communication pathway between your brain and bladder which may help urgency with leaks.5 This treatment is called tibial neuromodulation is a proven therapy for reducing bladder control symptoms.2–7,11

How does the Altaviva™ implant work?

Altaviva™ implant works by sending electrical pulses to the tibial nerve, which is linked to the nerves that control your bladder. These pulses may help restore the communication pathway between your brain and bladder,3,4 which may help reduce urgency, frequency, and leaks.5

Why does the Altaviva™ implant target the tibial nerve?

Bladder control issues often stem from miscommunication between the brain and the nerves controlling bladder function.13,14 By targeting the tibial nerve, the therapy may help restore normal bladder function.3,4

Does the Altaviva™ device need to be recharged?

The device only needs to be charged 1–2 times per year under standard therapy settings and charging only takes about 30 minutes with proper placement and default recharge speed.

What are the risks of the Altaviva™ implant for UUI?

In addition to risks related to surgery, complications can include pain at the implant site, lower leg pain, infection, technical or device problems, movement of the implant, undesirable change in bowel or bladder function, or uncomfortable or unintended stimulation sensations. Please see Important Safety Information for more details. Talk with your doctor about ways to minimize these risks.

Will the Altaviva™ bladder control device cure my UUI?

Urge urinary incontinence is a chronic condition. Altaviva™ therapy can help manage the symptoms but does not cure the condition.

How long does the Altaviva™ device last?

The implant has a long-lasting battery5 expected to deliver 15 years of therapy.

‡ Based on clinical and bench testing for expected therapy settings.

Is the Altaviva™ implant procedure invasive?

The procedure is minimally invasive,12 requiring a 2 cm incision.

Will I be able to get an MRI with the implantable device?

You can have a full-body MRI scan if certain conditions are met.15 Your clinician can provide more details about these conditions, as well as safety information.

Will insurance cover the costs related to the Altaviva™ implant?

Talk to your doctor and your insurance provider to learn more about your coverage.

I have more questions. How can I contact Medtronic?

Prospective patients, reach an education specialist: (800) 664-5111
Existing patients, reach a service specialist: (800) 510-6735.

1. Appendix B: Clinical Study Summary. M028929C001 RevC — Clinician Therapy and Programming Guide Altaviva Model P7850N.