If your lifestyle has been altered due to urinary control issues and you haven't found success with other treatment options there is still hope.
You know that constant need to run to the bathroom or that nagging fear you might leak urine at the most inopportune moment? Urinary control problems can consume your thoughts so you're busy worrying about your little prison sentence while life passes you by.
If you have tried other treatments like diet modification, biofeedback and medications and still experience bladder control problems you may be excited to know there is another option, InterStim Therapy. This FDA-approved treatment can eliminate or greatly reduce bladder control symptoms for men and women suffering from urge incontinence, urgency-frequency or urinary retention problems. So you can return the life you once enjoyed without worrying about where the next bathroom is.
What is Interstim?
InterStim Therapy works with the pelvic nerves located near the tailbone. The sacral nerves control your bladder and the muscles related to urinary function. There are many situations where the pelvic nerves become dysfunctional and/or over stimulated. If the brain and sacral nerves don't communicate properly the nerves cannot tell the bladder to function properly which can lead to bladder control problems. InterStim Therapy targets this communication problem by modulating the nerves with mild stimulation.
Nothing Else has worked. How do I know if this will?
Every time your doctor suggests a new treatment only to discover it doesn't work for you, you surely feel a bit more frustrated. Who wouldn't? Well while InterStim Therapy isn't right for everyone, it has helped thousands of people just like you greatly reduce or eliminate their bladder control symptoms.
To help discover if InterStim Therapy will work for you a test stimulator has been created so you can try InterStim Therapy without making a big commitment. The test stimulation or "perc test" involves. During the trial stimulation, which typically lasts three to five days, you may continue many of your daily activities with caution. You will keep a diary to document your urinary symptoms or the lack thereof.
If you experience a 50% improvement in your urinary symptoms and parole from bladder prison that you have longed for then long term InterStim Therapy can be our next life changing conversation.
Yes InterStim Therapy is safe and effective for patients who have not had success with more conservative treatments. It has been used to treat more than 40000 patients worldwide. It was approved in Europe in 1994 and US in 1997.
Having the Interstim system implanted requires a short procedure that can be done in an outpatient facility. A small incision is made in the fatty part of the buttock where the long- term electrode and neuromodulator is inserted under the skin.
Side effects may include pain, skin irritation, infection, lead migration, and device problems that are generally resolvable.
You will receive your very own remote control, a patient programmer, just keep it away from hubby. It can tell you your level of stimulation, control on and off and if the battery is low.
InterStim Therapy may allow you to regain your everyday freedom and no one will ever know
InterStim Therapy can eliminate or greatly reduce bladder control symptoms for people suffering from overactive bladder (urge incontinence, urgency-frequency) or urinary retention problems. InterStim Therapy may allow you to regain your everyday freedom, so you can stop worrying about your bladder control problems and return to the life you once enjoyed.
As with any procedure there are precautions and activity restrictions related to InterStim Therapy. You cannot have diathermy while you are receiving InterStim Therapy.
No. Usually there is no cure. InterStim Therapy is a treatment for bladder control problems, not a cure. If the neurostimulator were turned off or removed, your symptoms would return.
The trial assessment generally lasts 3 to 7 days.
Procedure time depends on t. If your trial procedure takes place in the office, you should plan to be there for 60 to 90 minutes, although the procedure itself should take about 30-45 minutes. If your trial procedure takes place in a hospital or outpatient surgery center, you should plan to be there for about 4 hours.
If your job doesn't require strenuous movement, bending, or twisting, you should be able to work throughout the trial assessment. Talk with Dr. Sweeten about your work situation.
Local anesthesia with or without sedation will be given to make you more comfortable. You will not need general anesthesia to "put you to sleep." You will be able to tell Dr. Sweeten if you feel any discomfort during the procedure.
As with any medical procedure, it might take a few days for you to feel back to your normal self.
Stimulation varies from person to person, but most people describe it as a slight "pulling" or a "pulsing" sensation in the pelvic area. It should not be painful.
Complications can occur during the trial assessment, including movement of the wire, technical problems with the device, and some temporary pain. In most cases, these issues can be resolved.
You will go home with a small neurostimulator that you will wear on your waistband like a pager or put in your pocket. You will need to fill out a symptom tracker during the trial to record your urinary symptoms.
You will not need to take any special steps to go to the bathroom during the trial. The neurostimulator works with your nerves to tell your brain when you need to go to the bathroom, so you should be able to empty your bladder normally. If InterStim Therapy is working for you, you should see a decrease in the number of times you go to the bathroom if you have overactive bladder, or get up at night or less urgency or a reduction in the number of times you need to catheterize if you have urinary retention.
You and Dr. Sweeten will decide together if you should move on to long-term InterStim Therapy. We will look for results that clearly show a significant reduction in your symptoms. For example, you might go on to long-term therapy is you went to the bathroom 20 times per day before the trial and went 10 or fewer times during the trial assessment.
Once you and Dr. Sweeten have determined that the trial was successful then you can move forward to long-term InterStim Therapy. With long-term InterStim Therapy, a small internal neurostimulator is placed about an inch under the skin of your upper buttock during a minimally invasive, outpatient procedure.
If your trial assessment results do not clearly show a significant reduction in your symptoms, Dr. Sweeten may talk with you about other options, which may include doing another trial assessment using a different approach.
Medicare and many other private insurance companies cover InterStim Therapy. Your out-of-pocket costs will vary according to your insurance plan. Our office will check with your insurance provider about the details of your benefits.
No. The trial assessment is a time period (generally 3 to 5 days) during which you try InterStim Therapy. A clinical trial is a controlled study of human subjects to collect information about the safety and effectiveness of a drug or medical device. Clinical trials were conducted for InterStim Therapy before the FDA approved it in 1997.
Your doctor and his or her staff will be your main point of contact throughout the trial assessment. In addition, once you have a trial assessment procedure date, you'll be able to log into a website, www.everyday-freedom.com/trial, designed specifically for patients undergoing the trial assessment. There you will find information to help you before and during the trial assessment.
With long-term InterStim Therapy, a small internal neurostimulator is placed under the skin in the fatty part of the upper buttock during a minimally invasive, outpatient procedure.
The InterStim II neurostimulator (actual size) is about 2" wide and about 1/4" thick. Typically described as being the size of a pocket watch or half dollar.
The neurostimulator is placed under the skin of your upper buttock, above where you sit and below your waistline. A thin flexible lead goes from the neurostimulator to a sacral nerve, located beneath the tailbone.
In most cases, the outline of the neurostimulator cannot be seen. Patients have reported that they can wear a bikini or tight clothing without their neurostimulator showing.
You control the neurostimulator with an external patient programmer that works like a remote control to turn the stimulation up and down or on and off.
Medtronic recommends that an MRI should not be prescribed for anyone with an implanted InterStim Therapy system. Exposure to an MRI can potentially injure the patient or damage the neurostimulator.
If you require an MRI, talk to your doctor who is familiar with you and your InterStim Therapy system. Your doctor may recommend other forms of diagnostic tests such as CT scans, x-rays, or ultrasounds that are effective but have less risk of affecting the device.
Before you undergo any tests or treatments, always tell your medical and dental professionals that you have an implanted InterStim Therapy system.
Yes. InterStim Therapy is reversible and can be discontinued at any time by turning it off or having a surgical procedure to remove the neurostimulator.
InterStim Therapy can eliminate or greatly reduce bladder control symptoms for people suffering from overactive bladder or urinary retention problems.
In a clinical study, doctors found that nearly half of patients with urge incontinence who received InterStim Therapy were completely dry after 6 months, and many others have experienced greatly reduced symptoms.
Implanting an InterStim Therapy system has risks similar to any surgical procedure, including swelling, bruising, bleeding, and infection. Talk with Dr. Sweeten about ways to minimize these risks if it is a concern.
- Pain at the implant site or new pain
- Infection or skin irritation
- Lead (thin wire) movement/migration
- Device problems
- Interactions with certain other devices or diagnostic equipment
- Undesirable changes in urinary or bowel function
- Uncomfortable stimulation (sometimes described as a jolting or shocking feeling)
Problems may be resolved with surgery, medical therapy such as drugs, or reprogramming. These events may also resolve over time. There is a possibility that some may remain unresolved.
Follow-up schedules vary. You will likely return about 2 weeks after your procedure. If all goes well, you will see Dr. Sweeten again in 1 to 2 months. In the first month, you may need more visits to optimize the stimulation to best control your symptoms. After initial adjustment period, you will probably see your doctor every 4 to 8 months.
Like any battery-powered device, the more it is used, the faster the battery power will be depleted. Battery life depends on many variables, such as program settings, on and off cycles, lead placement, etc. At your regular check-ups, Dr. Sweeten's staff can check on the status of your battery. Replacing the battery requires replacing the neurostimulator, which is done during an outpatient procedure.