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INTERSTIM is a device specially designed for
Sacral neuromodulation.
Sacral neuromodulation is a treatment for Urinary Urge
Incontinence, Urinary Frequency, and Urinary Retention.
It is an implantable, programmable device that delivers
a pulse low amplitude stimulation to one of the nerves
that innervates the bladder.
The procedure
is done in two stages, each outpatient.
During the first stage, a small fiber is placed next to
the nerve. This is done percutaneously, or without
incisions. Xray is used to localized the exact position
of the nerve. The patient will feel a tapping or
vibration in the bladder, urethra, vagina, scrotum,
penis, or rectum when the fiber is implanted properly.
The second stage is done 1-3 weeks after the first.
During this 1-3 week trial, the fiber is connected to an
external generator that looks like a pager or cellphone.
The patient keeps a record of the number of voids,
incontinent episodes, voided volumes, and catheterized
volumes.
If, based on the results of the bladder diary, the fiber
has improved symptoms by 50% or better, then the second
stage takes place and a permanent
generator is connected to the fiber and implanted
beneath the skin in the buttock or abdomen.
Statistically
85% of patient who have Urgency, Frequency, or Urge
Incontinence and 77% of patient who have urinary
retention will have a 50% or better improvement in their
symptoms.
Any patient who has used several medications to treat
urinary urge incontinence without success is a candidate
for this procedure. Any person who needs to catheterize
to empty their bladder is a candidate.
Dr . Kalyvas’ Comment
The method is
applied in carefully selected patients, and we are fully
approved and trained to implant the device and follow
the patient up.
For more information you can visit the manufacturer web page
Medtronic
If
you need any further information, please contact:
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