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Advanced Bladder Control Therapy

Sacral Neuromodulation

Sacral neuromodulation is an innovative treatment for patients struggling with overactive bladder, urinary urgency incontinence, urinary retention, and fecal incontinence. This FDA-approved therapy may significantly improve your quality of life when other treatments haven't provided relief. Contact Z Urology to discuss treatment options for urinary control issues.
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What is Sacral Neuromodulation?

Urinary incontinence, or loss of bladder control, affects millions of Americans. It can range from occasional small urine leaks to having sudden, strong urges to urinate but failing to reach the toilet in time. It can be embarrassing and frustrating for both men and women experiencing this condition.

If incontinence impacts your daily activities, reach out to Z Urology. In many cases, lifestyle changes and medical treatments can often alleviate symptoms.

What Happens During a Sacral Neuromodulation Procedure?

Z Urology specialists perform Sacral Neuromodulation (SNM) using advanced techniques and technology. This advanced treatment is typically considered when other options have been unsuccessful, providing hope for patients struggling with these conditions.

There are often two stages to the SNM procedure: one that is performed in the office under local anesthesia taking approximately 30 minutes, and a second procedure under moderated sedation which can take approximately 60 minutes.

  1. The sacral neuromodulation implant is placed under the skin in the buttock area.
  2. The device sends mild electrical impulses to the sacral nerves near the base of the spine.
  3. During the trial, we will be in regular contact with you to see if your symptoms have improved by more than 50%. 
  4. These impulses help regulate nerve communication, improving bladder and bowel control.
  5. After the procedure, patients receive a handheld programmer to adjust stimulation settings as needed.

The Z Urology team will guide you through every step of the process, ensuring your comfort and understanding throughout the treatment journey. We're here to provide personalized care, supporting you as we aim to achieve the best possible outcomes for your condition.

Recovery from the SNM Procedure 

Recovery from Sacral Neuromodulation (SNM) is a gradual process. It can look slightly different from patient to patient. 

Most individuals can return to normal activities within a few days or a few weeks after the procedure. During recovery, you can expect: 

  • Rest and Limit Physical Activity: Avoid heavy lifting and strenuous exercise until your doctor gives you the green light.
  • Pain Management: Your doctor may prescribe medication to manage any discomfort at the implant site. Take these as directed.
  • Swelling Reduction: Applying ice to the implant site for short periods can help reduce swelling and discomfort.
  • Follow-Up Care: Attend all scheduled follow-up appointments. These are crucial for monitoring your progress and adjusting device settings as needed.
  • Device Care: You'll receive instructions on how to care for your SNM device and its components.
  • Activity Restrictions: Certain activities that could potentially damage the implant, such as high-impact exercise or swimming, may be restricted initially.

It's important to note that while some benefits may be immediate, it can take several weeks or months to achieve the full effects of SNM treatment. The Z Urology team will work closely with you throughout this process to monitor progress and achieve optimal results.

Patient Feedback for Z Urology

Our patients are the reason we strive for exceptional urological care and treatment! Here’s what some of our South Florida patients are saying about their experience at our clinics.
  • I have recommended many people to this office and each one has thanked me. On a scale of 1 to 5 (5 being the best), Dr. Z and his staff are a 12.
    – Alex S.
  • The wait was not long. I was greeted by a friendly nurse who took my sonogram of the kidneys and bladder. The doctor came in after a short time. Dr. Hollowell has a gentle voice and great bedside manner. He is very informative about my issues and I left feeling relieved and hopeful for future visits. The receptionists were also helpful and friendly. I recommend this office. Just wish it was closer to home.
    – Allison T.
  • "I found Doctor Varghese through my insurance provider network and read reviews in Healthgrades. Dr. Varghese is terrific. She explains things so they are easy to understand. I feel she is on top of several medical problems I’m having. I had a cystoscopy and was offered nitric oxide (mild gas). It was perfect. I have had the procedure in the past but it was the most uncomfortable feeling I ever experienced. Not this time. Doctor Varghese is an excellent listener and remembers what I tell her from the previous visits.

    Let me sum up my feelings about being under Dr. Varghese's care. I have new health insurance now so I can see doctors near my home, but instead I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL [to see her].”
    – Jeffery P.
  • “I've been coming here for cancer for 10 years and I've had nothing but good visits every time. Staff is friendly and the doctors and PA'S are great. Dr. Z takes the time to ask questions and explain everything. He is amazing.”

    – Bill S.
  • “El Dr. Pedro Espino Grosso es un médico especialista en Urología es también especialista en entender, comprender y atender la preocupación de su paciente. Gracias por su profesionalismo como para todo el staff y las enfermeras por su amable y compasivo trato. Por favor no cambien!”
    – Ana L.
  • I have new health insurance now so I can see doctors near my home, but instead, I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL to visit Z Urology!
    – Jeffery P.

  • “Dr. Mini Varghese of Z Urology is without a doubt the best Urologist in South Florida. She not only takes care of my father but now she's taking care of all my needs too. The team she has behind her at Z Urology is amazing, they go up and beyond their call of duty. A big shoutout to Z Urology in Pompano Beach, FL, thanks for keeping the pipes flowing...you gals are the Best!!!! Thanks Dr. Varghese.”
    – Brent S.
  • “Dr. Brar was awesome! He was very thorough with everything to ensure we got to the bottom of my issue! I felt like he cared and listened. I will be going back. The office was busy and some people were waiting a while but I was seen fairly quickly, I did fill out all the paperwork ahead of time so not sure if that helped! The person who helped me at the front desk was great and helped me with all my questions.”
    – Britney C.
  • Everyone seemed nice, friendly and welcoming. I was also impressed with the examination and the way the staff treated me. Dr. Mike took the time with me to listen and advise me as to what treatment plan might be needed.
    – Jimmy Z.
  • Great specialist, hard to find a more personable and efficient medical office anywhere else. I was welcome from the moment I came in, everyone was very friendly and all my questions and needs were expertly attended to. Never been to a urologist so this was new to me, but I definitely felt comfortable and heard. It was a drive from neighboring Miami but well worth it. Highly recommend. Thanks, Dr. Z!
    – Jose T.

  • Thank you Dr. Michael Zahalsky for the surgery, you changed my life completely. I'm so happy, now no more pain and I'm feeling better than ever, thanks again for the great staff in your office. Very professional. Felt like family.
    – Frank C.

  • They are very friendly. My surgeon went through the same procedure and read my mind of all my concerns. He reassured me everything would be okay and life would go on.
    – Jeremy C.


  • Three words: Kind, Caring and Compassionate! This office is the best of the best. The front desk employees are super friendly and the doctors are professional and spoke to me in a down-to-earth & making it easier for me to understand what was going on. I am able to make informed decisions with the material that was provided to me.
    – A.D.Z.



  • I had a great first visit with Dr. Z and his staff. I was seen within a reasonable amount of time. Dr. Z was personable and, after hearing my history and doing a targeted physical exam, directed his staff to perform ultrasound and bladder testing which was done efficiently and with discretion. Dr. Z then came in and spent a good amount of time explaining a clinical treatment plan. I left feeling I was in the hands of a total professional office from the top down.
    – Harvey A.




  • Z urology is the best and I have to say Dr. Zahalsky is extremely knowledgeable and such a humble and pleasant human being. I always feel welcome at Z Urology.
    – Kimaro W.





In Network with Most Insurance Plans


Our clinic accepts most major insurance plans and offers flexible financing options to ensure you receive the care you need. Our team will work with you to maximize your benefits and minimize out-of-pocket costs.
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Questions about insurance coverage?

Contact our office at (954) 714-8200. Additionally, we encourage you to call your insurance provider to confirm what your coverage includes.

Schedule an Appointment Today

Bladder and bowel control issues don’t have to control your life. Contact Z Urology to schedule a consultation so we can evaluate your condition and determine if sacral neuromodulation is the right treatment option for you!
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